In order for the anesthesiologist to accurately calculate the amount of anesthesia needed for an 82-year-old patient, the nurse should have data available on the medical record, such as:

time of last meal.

pulse rate and blood pressure.

height and weight.

respiratory rate and oxygen saturation.

Answer and Explanation

The Correct Answer is C

A. Time of last meal: Time of the last meal is essential for preventing aspiration during anesthesia but does not help determine the exact amount of anesthesia needed.

B. Pulse rate and blood pressure: Pulse rate and blood pressure are important for assessing the patient's cardiovascular status but are not directly used to calculate the amount of anesthesia needed.

C. Height and weight: Height and weight are critical for calculating the correct dose of anesthesia, as these factors affect the distribution and metabolism of the drug.

D. Respiratory rate and oxygen saturation: Respiratory rate and oxygen saturation are important for monitoring respiratory function, but they do not provide specific data needed to calculate the amount of anesthesia.

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Correct Answer is C

Explanation

A. Distract the client by giving him reading material. Distraction may not address the underlying anxiety and could delay processing the client's concerns about the surgery.

B. Suggest that he take a walk around the unit. While walking can help with anxiety in some patients, it does not directly address the client's expressed concern about the surgery itself.

C. Ask him to describe his concerns. The nurse should acknowledge the patient's feelings by encouraging them to express their concerns. This helps reduce anxiety and provides valuable information for further support.

D. Refer him to the spiritual care team. While spiritual care may be beneficial later, it’s essential to first address the patient’s immediate concerns before referring them to other services.

A. Start with small sips of water at first to see if they are retained B. Wait until his liquid diet tray arrives at mealtime C. Take in a variety of fluids totaling 3000mls/day D. Go ahead and drink all the water he wants

Correct Answer is A

Explanation

A. Start with small sips of water at first to see if they are retained. Starting with small sips allows the digestive system to adjust gradually, reducing the risk of nausea, vomiting, or complications from overconsumption after surgery.

B. Wait until his liquid diet tray arrives at mealtime. The patient is eager to try fluids, and waiting for the full meal tray may unnecessarily delay the process of reintroducing fluids.

C. Take in a variety of fluids totaling 3000mls/day. The patient should not be expected to consume a large volume of fluid right away; fluid intake should be gradually increased as tolerated.

D. Go ahead and drink all the water he wants. Allowing the patient to drink freely can overwhelm the digestive system and may cause complications, such as nausea or vomiting.

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In order for the anesthesiologist to accurately calculate the amount of anesthesia needed for an 82-year-old patient, the nurse should have data available on the medical record, such as:

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is scheduled to undergo abdominal surgery and tells the nurse that he is very anxious about the operation. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

The second day post-operatively, the NG tube is removed and an order is written for fluids as tolerated and a liquid diet. The patient is eager to try taking fluids. What should the nurse recommend that he do?

Correct Answer is A

Explanation

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