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:
palpable peripheral pulses.
clear lung sounds.
adequate urinary drainage.
bowel sounds in all quadrants.
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Not an acceptable signature. This is incorrect because an "X" is legally acceptable if properly witnessed.
B. Legal if it is witnessed. An "X" is a valid legal signature if a witness verifies that the patient understands and voluntarily consents to the procedure.
C. Required to be accompanied by a picture identification. Picture identification is not necessary for consent validity; the primary requirement is witnessing.
D. Acceptable if the surgeon is willing. Consent must meet legal standards, not just the surgeon’s approval. A witness is required for it to be valid.
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.
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