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 A

Explanation

A. 2 to 6 hours. Patients undergoing same-day surgery are usually monitored in the recovery area (post-anesthesia care unit, or PACU) for about 2 to 6 hours. The exact duration depends on factors such as the type of surgery, anesthesia used, the patient's ability to wake up, pain control, and vital sign stability. Once the patient meets specific discharge criteria, they can be sent home.

B. 5 to 6 hours. This is an overestimate for most same-day surgeries. Most patients will remain in recovery for a much shorter period.

C. 30 to 60 minutes. This is too short for most cases, as patients usually need additional time to stabilize after anesthesia.

D. 6 to 8 hours. This is too long for most same-day surgeries, as patients are generally discharged much sooner after recovery unless there are complications.

A. Apple juice B. Cream of rice cereal C. Scrambled eggs D. Vanilla yogurt

Correct Answer is C

Explanation

A. Apple juice: Apple juice is a clear liquid, which is typically appropriate for a full liquid diet. This item does not need to be removed.

B. Cream of rice cereal: Cream of rice cereal is a proper component of a full liquid diet, as it is soft and liquid in nature.

C. Scrambled eggs: Scrambled eggs are considered a solid food and should not be included in a full liquid diet, which requires all foods to be liquid or semi-liquid.

D. Vanilla yogurt: Vanilla yogurt is a part of a full liquid diet as it is a smooth, creamy consistency that fits the requirements.

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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 A

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Correct Answer is C

Explanation

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