The nurse administering the preoperative medications to the child going to surgery would anticipate which of the following related to giving preoperative medications?
A sedative to be given one-and-a-half to two hours before surgery and an analgesic-atropine mixture given just before the child leaves for the operating room.
A sedative and an analgesic-atropine mixture to be given just before the child goes to sleep the night before the surgery.
A sedative to be given three to four hours before surgery and an analgesic-atropine mixture given one to two hours before the child leaves for the operating room.
A sedative and an analgesic-atropine mixture to be sent to the operating room with the child.
The Correct Answer is A
Choice A reason: A sedative 1.5-2 hours pre-surgery reduces anxiety, and an analgesic-atropine mixture just before leaving minimizes pain and secretions. This timing aligns with pediatric preoperative protocols, making it the correct anticipation for administering medications to prepare the child for surgery effectively.
Choice B reason: Giving medications the night before surgery is too early for preoperative effects like sedation or secretion control. The correct timing is closer to surgery, making this incorrect, as it does not align with standard preoperative medication administration for a child undergoing surgery.
Choice C reason: A sedative 3-4 hours before surgery is too early, reducing effectiveness, and the analgesic-atropine timing is suboptimal. The 1.5-2-hour sedative window is standard, making this incorrect compared to the precise timing needed for preoperative medications in pediatric surgical care.
Choice D reason: Sending medications to the operating room delays administration, risking inadequate preoperative sedation or secretion control. Administering at specific pre-surgery intervals is standard, making this incorrect compared to the timed delivery of sedative and analgesic-atropine for the child’s surgical preparation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: An electric heating pad provides dry heat, not moist heat, which is needed for deeper tissue penetration and comfort. Towels dampened with hot water deliver moist heat effectively, making this incorrect for the caregiver’s instruction on providing the recommended therapy at home for the child.
Choice B reason: Microwave-heated towels risk uneven heating and burns, making them unsafe for moist heat application. Towels dampened with hot water ensure controlled, safe moist heat, making this unreliable and incorrect for the caregiver’s home application of moist heat therapy as recommended.
Choice C reason: A hot water bottle provides dry heat, not moist, as it does not involve dampness. Towels dampened with hot water meet the moist heat requirement, making this incorrect, as it fails to deliver the specific type of heat therapy recommended for the child’s home care.
Choice D reason: Towels dampened with hot water provide safe, effective moist heat, penetrating tissues and soothing the child’s condition as recommended. This method aligns with pediatric home care instructions, making it the correct choice for teaching the caregiver about moist heat application at home.
Correct Answer is B
Explanation
Choice A reason: Scoliosis screening is typically prioritized in older children (10-14 years), as curvature often appears during puberty. Vision and hearing screenings are critical for 6-8-year-olds to support learning, making this less urgent and incorrect for the prioritized screening in this elementary school age group.
Choice B reason: Vision and hearing screenings are critical for 6-8-year-olds, as deficits can impair academic performance and development. Early detection ensures timely intervention, aligning with pediatric school health guidelines, making this the prioritized screening for elementary students to support their educational and health needs.
Choice C reason: Assessing nutritional needs is important but less standardized as a routine screening compared to vision and hearing, which directly impact learning. These screenings take precedence, making this less critical and incorrect for the nurse’s priority in routine health checks for 6-8-year-olds.
Choice D reason: Reviewing immunization records ensures compliance but is administrative, not a health screening like vision and hearing, which detect active issues. These screenings are more urgent, making this incorrect compared to prioritizing assessments that directly affect the health of 6-8-year-old students.
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