Which action is the priority when providing care to a patient in the preoperative period?

Educating the patient on the surgical process

Ensuring the patient's preoperative checklist is complete

Answering all questions for the patient about surgery

Admitting the patient to the facility

Answer and Explanation

The Correct Answer is B

A. Educating the patient on the surgical process. Preoperative education is important, but ensuring that all essential preoperative requirements are met takes precedence.

B. Ensuring the patient's preoperative checklist is complete. The preoperative checklist ensures that all necessary steps (e.g., consent, lab results, NPO status) are completed before surgery. Missing an essential step could delay or complicate the procedure.

C. Answering all questions for the patient about surgery. Answering questions is important but is not the priority over ensuring surgical readiness.

D. Admitting the patient to the facility. While admission is necessary, it does not take precedence over ensuring all preoperative preparations are complete.

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Correct Answer is C

Explanation

A. Administer oxygen at 2 L/min.: Oxygen is necessary, but raising the head of the bed first can improve oxygenation more effectively and quickly.

B. Encourage coughing and deep breathing.: While effective, this should be done after positioning the patient appropriately to optimize oxygenation.

C. Raise the head of the bed.: The priority intervention for low oxygen saturation is to improve ventilation and perfusion by raising the head of the bed. This enhances lung expansion, making it easier for the patient to breathe.

D. Administer prescribed analgesic medication.: Pain management is important, but it is not the priority when oxygen levels are dangerously low.

A. Inability to void without fluid retention B. Persistent nausea without vomiting C. Lethargy that resolves after several hour D. Pain management with opioid analgesics

Correct Answer is A

Explanation

A. Inability to void without fluid retention. Urinary retention is a common post-op complication, especially after anesthesia, and requires monitoring to prevent bladder distension or kidney issues.

B. Persistent nausea without vomiting. Nausea can be managed with antiemetics and does not necessarily require prolonged monitoring.

C. Lethargy that resolves after several hours. Post-anesthesia drowsiness is expected and does not necessarily indicate a need for extended observation.

D. Pain management with opioid analgesics. Pain control with opioids is expected and does not, by itself, require extended monitoring.

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Which action is the priority when providing care to a patient in the preoperative period?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has returned to the unit 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

Which patient finding indicates the need for further monitoring rather than discharge home after an outpatient surgical procedure?

Correct Answer is A

Explanation

A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula. The nurse explains to the client that this method of oxygen delivery does which of the following?

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The nurse provides care to a patient who is recovering from facial trauma who requires high-flow oxygen therapy. Which method of oxygen delivery does the nurse recognize as best for this patient?

Which is the priority action by the nurse when a patient discloses a medication allergy during the health history before a surgical procedure?

What is a common side effect of antipsychotics?

Which client statement is evidence of the etiology of major depressive disorder from a genetic perspective?

Which of the following medications can cause serotonin syndrome?

What information does the nurse teach the patient regarding NPO status before a surgical procedure?