A patient is ready for discharge following same day surgery. The education plan for this patient includes:

that vomiting might be an expected symptom.

limiting wine intake for 12 hours.

not driving or making important decisions for 24 hours.

reporting temperatures greater than 99° F.

Answer and Explanation

The Correct Answer is C

A. That vomiting might be an expected symptom. Vomiting can occur post-surgery, particularly if anesthesia was used, but this is not an expected or desired symptom. The education plan should focus on advising the patient about managing nausea if it occurs, rather than presenting vomiting as an expected outcome.

B. Limiting wine intake for 12 hours. Alcohol intake should be avoided after surgery, but the specific restriction may vary depending on the procedure and type of anesthesia used. The recommendation is usually to avoid alcohol for at least 24 hours, not just 12 hours. Therefore, this is not an ideal choice for the education plan.

C. Not driving or making important decisions for 24 hours. After same-day surgery, the effects of anesthesia can last for several hours, impairing the patient's cognitive and motor abilities. It is important to educate the patient to avoid driving or making significant decisions for at least 24 hours after surgery to prevent accidents and errors.

D. Reporting temperatures greater than 99°F. A temperature greater than 99°F may not be a significant concern post-surgery. Generally, a fever above 100.4°F (38°C) would be more concerning. The patient should be instructed to report a higher fever, but a temperature of 99°F alone is usually not an alarming sign.

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Correct Answer is B

Explanation

A. Urinary tract infections are common at this stage. While urinary tract infections (UTIs) are a potential postoperative complication, monitoring urine output is not primarily for detecting UTIs but for ensuring adequate kidney function and overall circulatory health.

B. Decreased urine output may be a sign of shock. Decreased urine output can be a key indicator of shock, as inadequate perfusion to the kidneys during shock reduces urine production. This is a critical sign of potential hemodynamic instability and warrants immediate attention.

C. A distended bladder is uncomfortable. While a distended bladder can be uncomfortable, monitoring urine output is more about assessing kidney function and detecting issues like dehydration, shock, or kidney failure rather than simply comfort.

D. Swelling may block the ureters or urethra. Swelling may cause urinary retention, but this is less common as a primary concern postoperatively. The primary reason for monitoring urine output is to assess overall circulation and kidney function, not necessarily to monitor for obstruction.

A. the procedure to be performed. B. the need for the procedure C. time and date signed. D. the related risks and benefits of the procedure. E. marital status.

Correct Answer is ["A","B","C","D"]

Explanation

A. The procedure to be performed. The surgical consent form must clearly state the procedure that will be performed so the patient understands what they are agreeing to.

B. The need for the procedure. The patient should be informed about the reason for the procedure to understand the necessity of the surgery.

C. Time and date signed. The time and date the consent is signed must be documented to confirm that the consent was given prior to surgery.

D. The related risks and benefits of the procedure. Informed consent requires that the risks and benefits of the procedure be explained to the patient to ensure they understand what they are consenting to.

E. Marital status. Marital status is not relevant to the informed consent process. The form should focus on the surgery details, not personal information unrelated to the procedure.

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A patient is ready for discharge following same day surgery. The education plan for this patient includes:

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Naxlex Comprehensive Predictor Exams

It is very important to monitor the surgical patient's urine output because

Correct Answer is B

Explanation

The nurse explains that the informed surgical consent form should include information relative to: (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

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