During the immediate postoperative period, which condition has the highest priority when planning nursing care
Respiratory obstruction.
Infection.
Cardiac arrest.
Dehydration.
The Correct Answer is A
A. Respiratory obstruction: Airway patency is the highest priority in the immediate postoperative period because anesthetics, sedation, or secretions can cause airway blockage. Without prompt intervention, this can quickly lead to hypoxia, respiratory arrest, and death, making it the most urgent concern.
B. Infection: Although infection prevention is critical, it is not an immediate threat in the postoperative phase. Signs of infection typically develop hours to days later, after initial recovery from anesthesia.
C. Cardiac arrest: While life-threatening, cardiac arrest is often a result of unresolved respiratory compromise. Prioritizing airway management can prevent hypoxia-induced cardiac complications.
D. Dehydration: Fluid balance is important but not an immediate threat compared to airway obstruction. Dehydration develops gradually, allowing time for assessment and correction once the client’s airway and breathing are stabilized.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D,A,E,B,C
Explanation
A. Put on disposable gown: Wearing a gown before providing care creates a barrier between the caregiver’s clothing and potential contamination from the client or environment.
B. Remove gloves and gown in room: PPE must be removed in the client’s room to prevent spreading C. difficile spores to other areas. Gloves are removed first, followed by the gown, to minimize contamination.
C. Repeat standard hand washing: Hand hygiene is performed after all PPE is removed to eliminate any pathogens that may have contacted the hands during care, ensuring safety and compliance with infection control.
D. Perform standard hand washing: Washing hands before putting on PPE removes transient microorganisms and reduces the risk of introducing pathogens to the client during care.
E. Don a pair of procedure gloves: Gloves are applied after the gown to protect the hands during direct contact with the client or contaminated surfaces, completing the PPE setup before providing care.
Correct Answer is B
Explanation
A. Speak louder so the client can hear the conversation: Raising the voice may distort sounds and make speech harder to understand, especially for those with sensorineural hearing loss. It can also be perceived as shouting, which may cause discomfort or embarrassment for the client.
B. Determine if the client has had difficulty hearing in the past: Assessing whether the hearing difficulty is new or chronic is the most important initial step. This helps identify if the issue is due to a reversible cause, such as earwax buildup, or if accommodations, like hearing aids or alternative communication methods, are needed.
C. Encourage the client to read the practical nurse’s lips: While lip-reading can assist communication, it should not be the first approach before determining the cause and extent of the hearing problem. Some clients may also have visual impairments that limit this strategy.
D. Provide written instructions about how to take medications: Written instructions are useful for clients with known hearing loss, but they should be supplemented with an assessment first to ensure comprehension and to tailor the communication method appropriately.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.