Exam 14: Clients Having Surgery

A client has left to go to the operating room. Important supportive interventions the nurse can provide the family include (Select all that apply)

The nurse should complete a detailed cognitive assessment on an elderly client before surgery because (Select all that apply)

The nurse will plan preoperative teaching about how to cough and deep-breathe for

The PACU nurse is informed that the client being admitted has not recovered his pharyngeal reflex. The nursing action that should receive greatest priority is to

A nurse on the surgical floor has several clients who had surgery during the day. Which of the following actions can this nurse delegate to unlicensed assistive personnel (UAP)? (Select all that apply.)

When teaching the proper method of coughing, the nurse should instruct the client to

The nurse explains to the postoperative ambulatory surgery client that his discharge will be delayed because of his

Before administering the preoperative medication, the nurse should

The nurse notes that a client's wound is beginning to eviscerate while ambulating. The nurse's initial intervention is to

The recovery room nurse places the client in the lateral Sims position on admission to the post-anesthesia care unit (PACU) because this position

The client who has received odansetron (Zofran) asks, "What will the drug do?" The nurse should base a reply on the knowledge that odansetron

Assessing unilateral leg edema and warmth in a postoperative client complaining of pain, the surgical unit nurse suspects the complication of

Preoperative assessment data that should be reported to the surgeon include

The nursing action that should receive highest priority when a client returns from the OR to the PACU is

The most appropriate explanation by the nurse to explain why a client cannot eat before surgery is

The item most likely to be left in place when the client is sent to the operating room (OR) is

The nurse caring for a client who had spinal anesthesia will ensure that the plan of care includes

A client is receiving anesthesia and is being inducted just before an operation. The most appropriate action by the nurse at this time is to

To lessen the postoperative complication of thrombophlebitis, the nurse would

In the teaching plan for a client being discharged from the PACU after ambulatory surgery, the nurse should include the instruction to