Preoperative Nursing Management

Which nursing statement would best decrease a client's anxiety before an emergency operative procedure? A. "Let me explain to you what will happen next." B. "You will be fine; the operating room nurses will take good care of you." C. "We will keep your family informed of your progress." D. "It is best to take deep breaths and relax before the procedure."

A. "Let me explain to you what will happen next."

A patient with renal sailors is scheduled for a surgical procedure. When would the surgery be contraindicated for this patient due to laboratory values? A. A blood urea nitrogen of 42 mg/dL B. A creatinine kinase of 120 U/L C. A urine creatinine level of 1.2 mg/dL D. A serum creatinine level of 0.9 mg/dL

A. A blood urea nitrogen of 42 mg/dL

The nurse assesses a client to determine if there is an increased risk for complications intraoperatively or postoperatively. Which are general risk factors? (Select all that apply.) A. Age B. Nutritional status C. Gender D. Ethnicity E. Health status F. Physical condition

A. Age B. Nutritional status E. Health status F. Physical condition

A nurse is teaching a client with chronic bronchitis about breathing techniques. Which instruction should the nurse include in the teaching? A. Use diaphragmatic breathing B. Make inhalation longer than exhalation C. Exhale through an open mouth D. Use chest breathing

A. Use diaphragmatic breathing

The nurse is physically preparing a client for surgery. What immediate preoperative concerns would the nurse assess before the client is taken to the operating room? (Select all that apply.) A. Activity B. Care of glasses C. Elimination D. Support system E. Medication

B. Care of glasses C. Elimination E. Medication

A perioperative nurse is assigned to complete a preoperative assessment on a client who is scheduled for surgery for kidney stones the next day. What category does this procedure fall into? A. Required B. Urgent C. Emergent D. Elective

B. Urgent

What action by the nurse best encompasses the preoperative phase? A. Shaving the client using a straight razor B; Documenting the application of sequential compression devices (SCDs) C. Educating client on signs and symptoms of infection D. Monitoring vital signs every 15 minutes

C. Educating the client on signs and symptoms of infection

A client is scheduled for a cholecystectomy, Which finding by the nurse is least likely to contribute to surgical complications? A. Urinary tract infection B. Pregnancy C. Osteoporosis D. Diabetes

C. Osteoporosis

A client has been transported to the operating room for emergent surgery. Which statement by the nurse best supports the need for emergency surgery? A. "The client had epigastric abdominal pain, an elevated white blood count, and vomiting for 1 day." B. "The client was tachycardic, had progressive weight loss, and experienced bouts of insomnia as a result of hyperthyroidism." C. "The client had severe pain and a laceration to the face with minimal bleeding after being attacked by a dog 1 hours ago." D. "The client was unresponsive, had a distended abdomen, and had unstable vital signs after a motor vehicle accident."

D. "The client was unresponsive, had a distended abdomen, and had unstable vital signs after a motor vehicle accident."

A nurse is teaching a client about diaphragmatic breathing. What client action indicates that further teaching is needed? A. The client places the hands on the lower chest to feel the rise and fall with breathing B. The client breathes in deeply through the nose and mouth C. The client performed diaphragmatic breathing in a semi-Fowler's position D. The client exhales forcefully with a short expiration

D. The client exhales forcefully with a short expiration