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. When still conscious, participate in marking the surgical site. The surgical site marking should be done with patient participation before anesthesia to confirm accuracy and prevent wrong-site surgery.

B. Have a photograph of the surgical site in the medical record. Photographs are not a standard requirement for surgical verification.

C. Have the unit nurse confirm their identity. Identity confirmation is necessary but not sufficient to prevent wrong-site surgery. Marking the site is the key step.

D. Verbally state the location of the surgical site and the expected procedure. Verbal confirmation is important but should be combined with physical marking of the site to ensure accuracy.

A. that vomiting might be an expected symptom. B. limiting wine intake for 12 hours. C. not driving or making important decisions for 24 hours. D. reporting temperatures greater than 99° F.

Correct Answer is C

Explanation

A. That vomiting might be an expected symptom. Vomiting can occur post-surgery, particularly if anesthesia was used, but this is not an expected or desired symptom. The education plan should focus on advising the patient about managing nausea if it occurs, rather than presenting vomiting as an expected outcome.

B. Limiting wine intake for 12 hours. Alcohol intake should be avoided after surgery, but the specific restriction may vary depending on the procedure and type of anesthesia used. The recommendation is usually to avoid alcohol for at least 24 hours, not just 12 hours. Therefore, this is not an ideal choice for the education plan.

C. Not driving or making important decisions for 24 hours. After same-day surgery, the effects of anesthesia can last for several hours, impairing the patient's cognitive and motor abilities. It is important to educate the patient to avoid driving or making significant decisions for at least 24 hours after surgery to prevent accidents and errors.

D. Reporting temperatures greater than 99°F. A temperature greater than 99°F may not be a significant concern post-surgery. Generally, a fever above 100.4°F (38°C) would be more concerning. The patient should be instructed to report a higher fever, but a temperature of 99°F alone is usually not an alarming sign.

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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

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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