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What type of procedural information should be given to a client in preparation for ambulatory surgery? (Select All that Apply)

The client does not need to remove their nail polish.

Instructions for preoperative fasting.

How to operate the vital signs machine.

Jewelry does not need to be removed before the procedure.

Information about postoperative care

information about the surgical procedure

Answer and Explanation

Correct Answer : B,E,F

A: Nail polish should be removed as it can interfere with oxygen saturation monitoring during surgery.

B: Preoperative fasting reduces the risk of aspiration during anesthesia. Specific guidelines regarding fasting duration for solids and liquids should be provided.

C: Teaching the client how to operate a vital signs machine is not relevant.

D: Jewelry must be removed to reduce the risk of burns (from cautery) and interference with equipment.

E: Postoperative care information helps the client prepare for recovery and any potential needs after surgery, such as pain management or wound care.

F: Explaining the surgical procedure ensures informed consent and reduces anxiety by providing clarity about the process.

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Correct Answer is C

Explanation

A. Administering analgesics is not a priority in managing low oxygen saturation.

B. Administering oxygen is important but should follow positioning to improve oxygenation.

C. Raising the head of the bed improves lung expansion and is the priority intervention.

D. Coughing and deep breathing can follow after oxygenation is stabilized.

A. Blood pressure of 120/84 mm Hg B. Hypoactive bowel sounds. C. Respiratory rate of 9 breaths per minute. D. Urine output 90 mL over the last 2 hours.

Correct Answer is C

Explanation

A. A blood pressure of 120/84 mm Hg is within normal limits and does not require immediate intervention.

B. Hypoactive bowel sounds are a common side effect of sedation and not an immediate concern.

C. A respiratory rate of 9 breaths per minute indicates respiratory depression, which is a life-threatening side effect of Propofol. Immediate intervention is required to maintain oxygenation.

D. Urine output of 90 mL over 2 hours is adequate and does not indicate acute distress.

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What type of procedural information should be given to a client in preparation for ambulatory surgery? (Select All that Apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has returned to the unit on a stretcher following a surgical procedure. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is caring for a client receiving Propofol for sedation during a medical procedure. Which assessment finding should the nurse prioritize when monitoring the client's response to Propofol?

Correct Answer is C

Explanation

A nurse is scheduling an older client for a surgical clearance appointment. Which intervention is best to reduce the risk of drug interactions for the client?

The nurse is preparing to transfer a client from the post-anesthesia care unit (PACU). Which assessment findings would delay the transfer of the client? (Select All that Apply.)

A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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?

The nurse is caring for a client who reports experiencing oral itching and swelling after consuming bananas and kiwis. Which allergy should the nurse suspect the client is at risk for?

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

A nurse is caring for a client who is scheduled for a surgical procedure. 3 Exhibits The nurse is reviewing the client's electronic medical record. Which of the following findings places the client at risk for a surgical complication? Select all that apply.