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The nurse is providing preoperative teaching. The client states, "I'm so nervous about my surgery". What is the best response by the nurse?

"Take a deep breath and relax. Let's focus on a good outcome.”

"If you are nervous, maybe you aren't ready to do the procedure."

"Let's discuss your concerns and then your nervousness will stop."

“Would you like to discuss the concerns that you have?”

Answer and Explanation

The Correct Answer is D

A. While calming, this response does not acknowledge the client’s concerns.

B. This statement may discourage the client and increase anxiety.

C. This response is dismissive and assumes that discussing concerns will eliminate nervousness.

D. Encouraging the client to verbalize concerns fosters trust and allows the nurse to address specific fears.

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Correct Answer is ["B","C","F"]

Explanation

A: Insulin is not indicated unless hyperkalemia develops as a complication of malignant hyperthermia.

B: Administering oxygen helps address hypoxemia caused by increased metabolic activity and muscle rigidity.

C: Dantrolene is the treatment of choice for malignant hyperthermia. It reduces muscle rigidity and hypermetabolism.

D: Warm blankets are contraindicated as they exacerbate hyperthermia.

E: Flumazenil is used to reverse benzodiazepines and is unrelated to malignant hyperthermia management.

F: Cooling measures, including cold IV saline, help reduce hyperthermia.

A. Assess the surgical dressing, noting presence and character of drainage. B. Assess urinary output and presence of bladder distention. C. Assess blood pressure and the estimated blood loss during surgery. D. Assess for airway patency and quality of respirations.

Correct Answer is D

Explanation

A. Checking the surgical dressing is important but not as urgent as ensuring respiratory function.

B. Assessing urinary output is necessary but secondary to airway patency.

C. Monitoring blood pressure and blood loss is important but less critical than respiratory status.

D. Airway patency is the highest priority in the immediate postoperative period to prevent respiratory failure.

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The nurse is providing preoperative teaching. The client states, "I'm so nervous about my surgery". What is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client experiencing malignant hyperthermia. Which intervention(s) is/are appropriate for this client? [Select All That Apply]

Correct Answer is ["B","C","F"]

Explanation

Which is the priority intervention for the nurse to perform in the post anesthesia care unit (PACU)?

Correct Answer is D

Explanation

A nurse is caring for several clients in the post-operative unit. Which client should the nurse see first?

A nurse is caring for a client receiving fentanyl. On assessment, the client's respiratory rate is 8 breaths per minute. Which medication is appropriate at this time?

A preoperative nurse is assessing a client prior to surgery. Which information would be most important for the nurse to relay to the surgical team?

During a pre-surgical admission assessment, a client states. "I've told my surgeon that I am Jehovah's Witness and I won't accept a blood transfusion." Which statement by the nurse would be most appropriate?

A client asks the nurse why they cannot consume food or liquids before surgery. Which response is most appropriate?

A nurse is caring for a client who has provided informed consent in preparation for a procedure. The client states, "I have decided not to have the procedure." Which action should the nurse take?

A nurse is teaching a newly licensed nurse about anesthesia. The nurse should include that an epidural is an example of which of the following types of anesthesia?

A client is receiving diazepam prior to a procedure. Which side effect should the nurse be most concerned about?