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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Free Nursing Study Resources

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

Explanation

A. Gather an emesis basin, tissues, and a small towel. Nausea and vomiting are common postoperative effects; having supplies ready helps with patient comfort.

B. Lower the bed for easy transfer of the patient. Lowering the bed facilitates a safe and smooth transfer from the stretcher to the bed.

C. Place an IV pole at the head of the bed. The IV should be positioned for easy access and monitoring.

D. Fan fold the sheets on the near side of the bed. Fan folding the sheets makes it easier to transfer the patient into bed without unnecessary movement.

E. Collect extra dressing supplies and place them on the bedside table. Dressing supplies should be kept sterile and only opened when needed to prevent contamination.

A. urinary tract infections are common at this stage. B. decreased urine output may be a sign of shock. C. a distended bladder is uncomfortable. D. swelling may block the ureters or urethra.

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.

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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","B","C","D"]

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Correct Answer is B

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