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 C

Explanation

A. Illuminate the interior body cavity in which the surgeon is operating or inspecting. This function is not related to the grounding pad. Illumination of the surgical area is typically done with surgical lights, not with a grounding pad.

B. Allow electricity to penetrate the patient's body. This is not the purpose of a grounding pad. The grounding pad is used in electrosurgery to safely direct electrical current away from the body to prevent burns or injuries.

C. Provide safety by dissipating electricity from the cautery. The grounding pad is used to provide safety in electrosurgical procedures by allowing electricity from the electrocautery to flow safely through the body and then dissipate. It helps prevent burns and injuries from the electrical current.

D. Illuminate the interior body cavity in which the surgeon is operating or inspecting. This is a repetition of answer choice A, which is incorrect. The grounding pad does not function to illuminate the surgical area.

A. palpable peripheral pulses. B. clear lung sounds. C. adequate urinary drainage. D. bowel sounds in all quadrants.

Correct Answer is D

Explanation

A. Palpable peripheral pulses. Palpable pulses are important for circulatory assessment but are not relevant in determining whether the patient can eat after surgery.

B. Clear lung sounds. Clear lung sounds are important for respiratory status, but they are not the primary factor in determining whether a patient can start clear liquids.

C. Adequate urinary drainage. Urinary drainage is important for monitoring kidney function postoperatively but is not a primary factor in whether a patient can eat clear liquids.

D. Bowel sounds in all quadrants. The presence of bowel sounds indicates that the gastrointestinal system is functioning well enough to begin processing liquids, making this an important assessment before offering fluids or food.

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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

In the OR, you observe the scrub nurse and the circulating nurse performing their functions. A grounding pad is placed beneath the patient. The purpose of the pad is to

Correct Answer is C

Explanation

A patient who had surgery earlier in the day using general anesthesia asks whether he can have something to eat. The diet order indicates clear liquids can be taken. Before giving a Jell O to the patient, the nurse should check for the presence of:

Correct Answer is D

Explanation

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