A nurse is preparing a young adult client who has a hearing impairment for surgery. Which of the following actions should the nurse take?
Allow the client to take her morning vitamins.
Allow the client to keep her tongue stud in.
Allow the client to consume clear liquids up to the time of surgery.
Allow the client to keep her hearing aids in.
The Correct Answer is D
Choice A reason: It is not recommended for clients to take morning vitamins before surgery due to the risk of aspiration and interference with anesthesia.
Choice B reason: Clients are typically instructed to remove all jewelry, including tongue studs, to prevent complications during surgery.
Choice C reason: Clients are generally required to fast before surgery, which includes not consuming clear liquids, to reduce the risk of aspiration.
Choice D reason: Allowing the client to keep her hearing aids in is important for communication and to reduce anxiety due to hearing impairment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Bursting open of the wound is a description that could imply evisceration, but it is not as specific as choice D.
Choice B reason: Wound edges not approximating is a general description of a wound that is not healing properly, but does not specifically describe evisceration.
Choice C reason: Opening of the wound could refer to any situation where a wound has opened, not necessarily evisceration.
Choice D reason: Evisceration specifically refers to the viscera spilling out of the abdomen, usually through a surgical wound.
Correct Answer is D
Explanation
Choice A reason: OCD is not characterized by an unconscious need to manipulate others but by anxiety-driven compulsions.
Choice B reason: While clients with OCD may feel a need to clean due to contamination fears, it is not a delusion but rather an obsession that drives the compulsion.
Choice C reason: The repetitive cleaning is not typically a conscious choice to decrease social interaction but a compulsion to alleviate anxiety.
Choice D reason: Repetitive behaviors in OCD, such as cleaning, are attempts to decrease the anxiety caused by obsessive thoughts.
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