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. HCO3- 30 mEq/L: In chronic respiratory acidosis, the kidneys compensate by increasing bicarbonate (HCO3-) to buffer excess CO2.

B. Potassium 3.3 mEq/L: Respiratory acidosis is typically associated with hyperkalemia (high potassium), not hypokalemia (low potassium).

C. PaCO2 50 mm Hg: Respiratory acidosis is caused by CO2 retention, leading to an elevated PaCO2 (>45 mm Hg).

D. pH 7.45: A pH of 7.45 is normal or slightly alkalotic. Respiratory acidosis is characterized by a pH below 7.35.

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 reviewing the laboratory values of a client who has respiratory acidosis. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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