The nurse is aware that in both the very young and the older adult surgical patient, the risk is much higher for:

nausea and vomiting.

delayed healing

anorexia.

hydration issues.

Answer and Explanation

The Correct Answer is B

A. Nausea and vomiting. Nausea and vomiting can occur after surgery due to anesthesia and other factors. However, it is more common in patients of all ages who undergo certain types of surgery. Though these groups may be more susceptible, this is not the most specific risk.

B. Delayed healing. Both very young and older adult patients are at higher risk for delayed healing. In the very young, the immune system and cell regeneration processes are still developing, while in older adults, decreased circulation, chronic conditions, and slower cellular regeneration can impair wound healing.

C. Anorexia. Anorexia is not specific to surgical patients. While appetite loss can occur postoperatively, it is not as universally problematic in young or older surgical patients as delayed healing.

D. Hydration issues. Hydration issues can occur in all patients, especially following surgery, but they are particularly critical for the very young (due to smaller body mass and high fluid turnover) and the elderly (due to decreased kidney function and total body water). However, this is not as universally prevalent as delayed healing.

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Correct Answer is A

Explanation

A. "They'll improve your circulation to keep blood from pooling in your legs." Antiembolism stockings apply graduated compression, promoting venous return and preventing deep vein thrombosis (DVT) by reducing blood stasis.

B. "They'll make it easier for you to do leg exercises after your surgery." Leg exercises help prevent DVT, but antiembolism stockings do not directly assist in performing them.

C. "They'll protect your legs and heels from skin breakdown." While stockings provide some skin protection, their primary function is to prevent venous stasis and embolism, not to prevent pressure ulcers.

D. "They'll help keep you warm immediately after your surgery." Stockings are not primarily designed for warmth; their main purpose is to prevent clot formation by improving circulation.

A. circulating nurse B. admitting department C. scrub tech D. surgeon

Correct Answer is D

Explanation

A. Circulating nurse: The circulating nurse does not obtain the surgical consent. Their role is to assist in the operating room by managing supplies, documentation, and ensuring the safety of the environment.

B. Admitting department: The admitting department is involved in the patient’s admission process but does not obtain surgical consent.

C. Scrub tech: The scrub tech assists during surgery but does not obtain surgical consent. Their role is focused on sterile technique and assisting with instruments.

D. Surgeon: The surgeon is the one responsible for obtaining the patient's informed consent for surgery, ensuring that the patient understands the procedure, risks, and benefits.

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The nurse is aware that in both the very young and the older adult surgical patient, the risk is much higher for:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing preoperative teaching with a client who will undergo abdominal surgery. The nurse explains that the client will wear antiembolism stockings after the procedure. When the client asks what the stockings do, which of the following responses should the nurse make?

Correct Answer is A

Explanation

The nurse reminds the patient that the member of the surgical team who is responsible for obtaining the surgical consent is the

Correct Answer is D

Explanation

A patient undergoing preadmission testing before same day surgery asks how long he will remain in the recovery area before being allowed to go home. The nurse's most informative response would be:

While completing the preoperative checklist, a patient who is almost ready for transport to the operating room states that he does not want to remove his wedding band. The nurse should:

A patient is ready for discharge following same day surgery. The education plan for this patient includes:

A nurse is monitoring the urinary drainage from a patient who returned to the unit a few hours ago from the post anesthesia care unit (PACU) following a surgical procedure. The urine total is 54 mL for the last 2 hours. The most appropriate nursing action is to:

The nurse explains that the informed surgical consent form should include information relative to: (Select all that apply.)

The four phases of surgical care are preoperative care, intraoperative care, post anesthesia care, and:

After the surgery, the patient is transferred to the PACU. Functions of the nurse in the PACU are to

A patient who had abdominal surgery is complaining of "gas pains" and has distention of the abdomen and flatus. To promote patient comfort, the nurse should advise: