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. Place a walker at the side of the bed. A walker may not be necessary for all patients and should only be used if prescribed by the healthcare provider.

B. Allow the patient to sit with the head of bed raised to the high Fowler’s position. This helps with postural adjustment but is not the best first step before dangling the legs.

C. Assist the patient to sit and dangle his or her legs on the side of the bed. Gradual movement from lying to sitting to standing helps prevent orthostatic hypotension, which is common after surgery.

D. Assist the patient from a supine position to a standing position. Moving too quickly can cause dizziness, falls, and syncope due to orthostatic hypotension.

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 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

A nurse preparing to get a patient out of bed for the first time since surgery will initially:

Correct Answer is C

Explanation

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

Explanation

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