The purpose of the nurse providing pre-operative teaching to clients undergoing surgery is to:

Avoid more time-outs in the OR.

Understand the informed consent.

Achieve better post-operative outcomes.

Reinforce that collaborative care is essential.

Answer and Explanation

The Correct Answer is C

Choice A reason: Avoiding more time-outs in the OR is not the primary purpose of pre-operative teaching. Time-outs are a safety protocol used in the operating room to ensure that the correct procedure is being performed on the correct patient. While pre-operative teaching can contribute to overall surgical safety, its main goal is not to reduce the number of time-outs.

Choice B reason: Understanding the informed consent is an important aspect of pre-operative teaching, but it is not the primary purpose. Informed consent ensures that the patient is aware of the risks, benefits, and alternatives to the procedure. Pre-operative teaching encompasses a broader range of information, including what to expect before, during, and after surgery.

Choice C reason: Achieving better post-operative outcomes is the primary purpose of pre-operative teaching. Educating patients about their surgery, recovery process, and self-care can significantly improve their post-operative outcomes. This includes reducing anxiety, pain, and complications, as well as shortening hospital stays and enhancing overall recovery. Pre-operative education empowers patients to take an active role in their recovery, leading to better health outcomes.

Choice D reason: Reinforcing that collaborative care is essential is a component of pre-operative teaching, but it is not the primary purpose. Collaborative care involves the coordination of various healthcare professionals to provide comprehensive care to the patient. While pre-operative teaching can highlight the importance of teamwork, its main focus is on preparing the patient for surgery and recovery.

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Correct Answer is B

Explanation

Choice A reason:

Pulse oximetry is 90% is not an ideal indicator of effective treatment. A normal pulse oximetry reading is typically between 95% and 100%. A reading of 90% suggests that the patient may still be experiencing hypoxemia, which indicates that the pneumonia may not be fully resolved.

Choice B reason:

White blood cell count is 9000/µL is a strong indicator that the treatment has been effective. A normal white blood cell (WBC) count ranges from 4,000 to 11,000/µL. An elevated WBC count is often seen in infections, and a return to normal levels suggests that the infection is resolving.

Choice C reason:

Bronchial breath sounds heard at the right base are not typically a sign of improvement. These sounds can indicate consolidation or fluid in the lungs, which are common in pneumonia. Effective treatment should result in the reduction of abnormal breath sounds.

Choice D reason:

Sputum that is light yellow in color does not necessarily indicate effective treatment. While a change in sputum color can be a sign of improvement, it is not as reliable as other clinical indicators such as WBC count or improvement in symptoms

A. The client will demonstrate decreased episodes of coughing at night. B. The client’s pulse oximetry values will remain above 94% on room air for the majority of the time. C. The client’s breath sounds will only have slight wheezing by discharge. D. The client will correctly demonstrate the use of a peak flow meter.

Correct Answer is B

Explanation

Maintaining adequate oxygenation is the primary goal for a client with impaired gas exchange due to an asthma exacerbation. Pulse oximetry is a non-invasive method to monitor the oxygen saturation of a patient’s blood, and values above 94% indicate sufficient oxygenation.

Choice A reason:

The client will demonstrate decreased episodes of coughing at night is important but not the priority goal. While reducing coughing can improve comfort and sleep quality, it does not directly address the critical issue of impaired gas exchange. The primary concern in an asthma exacerbation is ensuring that the client maintains adequate oxygen levels.

Choice B reason:

The client’s pulse oximetry values will remain above 94% on room air for the majority of the time is the priority goal. This goal directly addresses the issue of impaired gas exchange by ensuring that the client maintains adequate oxygenation. Pulse oximetry values above 94% indicate that the client’s blood is sufficiently oxygenated, which is crucial for preventing hypoxemia and ensuring that the body’s tissues receive enough oxygen to function properly.

Choice C reason:

The client’s breath sounds will only have slight wheezing by discharge is a relevant goal but not the priority. While reducing wheezing is an indicator of improved airway function, it is not as directly measurable or critical as maintaining adequate oxygen saturation. Wheezing can persist even when oxygen levels are adequate, so it is not the most reliable indicator of improved gas exchange.

Choice D reason:

The client will correctly demonstrate the use of a peak flow meter is an important educational goal but not the priority in an acute setting. Proper use of a peak flow meter can help the client monitor their asthma and prevent future exacerbations, but it does not directly address the immediate issue of impaired gas exchange. The priority in an acute asthma exacerbation is to ensure that the client is adequately oxygenated.

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The purpose of the nurse providing pre-operative teaching to clients undergoing surgery is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client with right lower lobe pneumonia has been treated with intravenous antibiotics for three days. Which assessment data obtained by the nurse indicates that the treatment has been effective?

Correct Answer is B

Explanation

The nurse prioritizes impaired gas exchange as a problem for a client with an asthma exacerbation. Which of the following is the client’s priority goal?

Correct Answer is B

Explanation

Which is the best method for the nurse to correctly identify a client prior to surgery?

In the operating room, an 82-year-old client tells the circulating nurse that cataract surgery is to be performed on the left eye. The nurse notes that the consent form indicates the right eye. What is the nurse’s best action?

The physician prescribed albuterol, beclomethasone, and zafirlukast for a client being discharged with asthma. The client tells the nurse he can’t remember what to take before exercising. The best response by the nurse would be:

The nurse recognizes the assessment data which best indicates that the client diagnosed with asthma is achieving good control with the prescribed medication regimen is when:

The nurse recognizes that the goals of teaching about the transmission of tuberculosis have been met when the client with tuberculosis:

The nurse must administer 1600 mL of total parenteral nutrition (TPN) over 24 hours. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest tenth, do not use trailing zeros, use a leading zero if it applies)

A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. The nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?

A client with left lower lobe pneumonia has activity intolerance related to impaired oxygen supply and demand as evidenced by fatigue, dyspnea, and difficulty performing self-care. Which expected outcome must be included in the care plan related to this problem? The client will: