A patient scheduled for surgery has an order for a preoperative surgical skin preparation. The nurse may be required to:

spray the surgical area with an antimicrobial solution.

shave the entire surgical site.

scrub the surgical area for 1 minute with antibacterial solution.

instruct the patient in the use of an antimicrobial soap in the shower.

Answer and Explanation

The Correct Answer is A

A. Spray the surgical area with an antimicrobial solution. Spraying an antimicrobial solution on the surgical area is a common method of skin preparation to reduce the risk of infection during surgery. It is important to follow specific guidelines set by the facility or surgical team.

B. Shave the entire surgical site. Shaving the surgical site is not typically recommended anymore because it can cause micro-abrasions that increase the risk of infection. Hair clipping is preferred if hair removal is necessary.

C. Scrub the surgical area for 1 minute with antibacterial solution. Scrubbing the area with an antibacterial solution may be part of the preparation, but it is typically done by the surgical team or after following specific guidelines for cleaning, not as a general preoperative action.

D. Instruct the patient in the use of an antimicrobial soap in the shower. This is another common preoperative practice, but the nurse's role may be to instruct the patient rather than carry out the preparation directly.

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Correct Answer is C

Explanation

A. Time of last meal: Time of the last meal is essential for preventing aspiration during anesthesia but does not help determine the exact amount of anesthesia needed.

B. Pulse rate and blood pressure: Pulse rate and blood pressure are important for assessing the patient's cardiovascular status but are not directly used to calculate the amount of anesthesia needed.

C. Height and weight: Height and weight are critical for calculating the correct dose of anesthesia, as these factors affect the distribution and metabolism of the drug.

D. Respiratory rate and oxygen saturation: Respiratory rate and oxygen saturation are important for monitoring respiratory function, but they do not provide specific data needed to calculate the amount of anesthesia.

A. lying supine with knees flexed. B. early ambulation C. turning to the left side. D. drinking fluids that are very hot.

Correct Answer is B

Explanation

A. Lying supine with knees flexed. Lying supine with knees flexed is a common position that can help relieve abdominal discomfort by relaxing the abdominal muscles and allowing gas to pass more easily.

B. Early ambulation: Early ambulation promotes the movement of gas through the intestines, which helps relieve bloating and discomfort. Moving helps stimulate peristalsis and reduces the risk of constipation or gas accumulation postoperatively.

C. Turning to the left side. Although turning to the left side may help with digestion, early ambulation is the most effective intervention for promoting the passage of gas and alleviating abdominal distention and discomfort.

D. Drinking fluids that are very hot: Hot liquids may irritate the stomach and intestines and are not a recommended strategy for relieving gas pain. Cool or room-temperature fluids are typically better tolerated postoperatively.

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A patient scheduled for surgery has an order for a preoperative surgical skin preparation. The nurse may be required to:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is B

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