Question

A nurse is assisting with preoperative teaching for a client. Which of the following outcomes should the nurse expect?

Answer 1

Correct Answers:

Reduced postoperative anxiety

Rationale :

💎 Preoperative teaching helps alleviate clients’ fears by increasing their knowledge about procedures and expectations. 💎 Clients who are well-informed feel more in control and less anxious about surgery. 💎 Reduced anxiety can improve cooperation with postoperative care and instructions. 💎 Lower anxiety is linked to fewer complications and quicker recovery. 💎 Teaching about postoperative routines helps clients mentally prepare, further decreasing stress.

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Answer 2

Correct Answers:

Headache

Rationale :

🔷 A post-spinal headache is a classic complication of spinal anesthesia due to CSF leakage at the puncture site.

🔷 It usually presents as a severe, positional headache relieved by lying flat.

🔷 Headache may be accompanied by nausea, photophobia, or neck stiffness.

🔷 Numbness in the legs and no urge to void are expected shortly after spinal anesthesia; hiccups are not typically related.

🔷 Prompt recognition allows timely interventions like hydration or epidural blood patch.

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Answer 3

Correct Answers:

1.5

Rationale :

♦ Use the formula:

Dose ordered ÷ Dose available = mL to give.

♦ 15 mg ordered ÷ 10 mg/mL available = 1.5 mL.

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Answer 4

Correct Answers:

Immobility
Fracture
Atrial fibrillation

Rationale :

💎 Immobility causes venous stasis, a major risk factor for DVT.

💎 Fractures—especially of long bones—can injure vessels and increase clot risk.

💎 Atrial fibrillation leads to blood pooling and potential clot formation, which can migrate and cause DVT.

💎 Anticoagulant therapy reduces, not increases, DVT risk.

💎 Teaching about causative risk factors helps guide prevention strategies.

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Answer 5

Correct Answers:

Reinforce information at the client's level of understanding.

Rationale :

🔷 Teaching must be tailored to the client’s literacy, language, and learning preferences for true understanding. 🔷 Using simple terms and checking for comprehension improve learning outcomes. 🔷 This approach increases retention and decreases anxiety. 🔷 Reassurance without facts and describing surgery in detail without checking understanding can overwhelm or confuse the client. 🔷 Involving the family without permission may violate privacy.

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Answer 6

Correct Answers:

Dyspnea

Rationale :

♦ Atelectasis is collapse of alveoli, often seen post-op, resulting in impaired gas exchange and dyspnea (shortness of breath).

♦ Symptoms may include decreased breath sounds, tachypnea, and hypoxemia.

♦ Pedal edema, dysphagia, or distended neck veins are not classic findings.

♦ Recognizing early helps prompt interventions like deep breathing exercises.

♦ Preventing atelectasis reduces the risk of pneumonia.

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Answer 7

Correct Answers:

Encourage the client to verbalize his concerns.

Rationale :

💎 Encouraging open discussion allows clients to express and process their fears, leading to reduced anxiety. 💎 Active listening demonstrates empathy and support. 💎 Dismissing concerns or shifting focus is non-therapeutic and may increase anxiety. 💎 It helps nurses address any misconceptions or knowledge gaps. 💎 Therapeutic communication builds trust before surgery.

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Answer 8

Correct Answers:

Background

Rationale :

🔷 The (Background) in SBAR includes pertinent past history and family history.

🔷 Malignant hyperthermia risk is important background for anesthesia safety.

🔷 This information helps the surgical team anticipate and prepare for complications.

🔷 Other SBAR sections (situation, assessment, recommendation) do not focus on past history.

🔷 Accurate communication is critical for patient safety in handoff.

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Answer 9

Correct Answers:

"Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart"

Rationale :

♦ Nitroglycerin acts as a vasodilator, widening coronary arteries.

♦ This increases blood and oxygen flow to the heart muscle, relieving angina pain.

♦ It does not dissolve clots, act as a bronchodilator, or treat nausea directly.

♦ Teaching the correct mechanism improves medication adherence.

♦ Understanding nitroglycerin’s purpose reassures clients about its effectiveness.

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Answer 10

Correct Answers:

Have a second nurse witness the disposal of the excess medication.

Rationale :

💎 Controlled substances require a witness for proper disposal to prevent misuse/diversion. 💎 Both nurses document the waste in accordance with policy and regulation. 💎 Returning, saving, or discarding in the sharps container is not appropriate for excess liquid narcotics. 💎 This process maintains accountability and patient safety. 💎 Proper waste management is a legal and ethical requirement.

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QLexNursing

1 :
A nurse is assisting with preoperative teaching for a client. Which of the following outcomes should the nurse expect?

2 :
A nurse is caring for a client who is returning to the medical-surgical unit following a procedure that required spinal anesthesia. Which of the following findings should indicate to the nurse the client is experiencing a complication related to the anesthesia?

3 :
A nurse is preparing to administer morphine 15 mg subcutaneously. The amount available is morphine injection 10 mg/mL. How many mL should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

4 :
A nurse is reinforcing teaching with a newly licensed nurse about causative risk factors for deep vein thrombosis (DVT). Which of the following should be included in the teaching? (Select All that Apply.)

5 :
A nurse is caring for a client who has just learned he will need exploratory surgery the next day. As the nurse contributes to the preoperative teaching plan, which of the following actions should she take?

6 :
A nurse is collecting data on a client who is one day postoperative. The nurse should recognize which of the following findings is a manifestation of atelectasis?

7 :
A nurse is caring for a client who reports feeling anxious about abdominal surgery the next day. Which of the following actions should the nurse plan to take?

8 :
A nurse is reviewing the client's medical record and notices a family history of malignant hyperthermia. In which of the following sections of the SBAR communication tool should the nurse include this information when completing handoff to the surgical team?

9 :
A nurse is caring for a client who is newly-admitted and has angina. The client asks the nurse, "Why am I taking nitroglycerin?" Which of the following responses should the nurse make?

10 :
A nurse withdraws morphine 2 mg from a vial that contains 4 mg/mL to inject IM for a client. Which of the following actions should the nurse take for wasting the excess medication?

QLexNursing

1 : A nurse is assisting with preoperative teaching for a client. Which of the following outcomes should the nurse expect?

2 : A nurse is caring for a client who is returning to the medical-surgical unit following a procedure that required spinal anesthesia. Which of the following findings should indicate to the nurse the client is experiencing a complication related to the anesthesia?

3 : A nurse is preparing to administer morphine 15 mg subcutaneously. The amount available is morphine injection 10 mg/mL. How many mL should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

4 : A nurse is reinforcing teaching with a newly licensed nurse about causative risk factors for deep vein thrombosis (DVT). Which of the following should be included in the teaching? (Select All that Apply.)

5 : A nurse is caring for a client who has just learned he will need exploratory surgery the next day. As the nurse contributes to the preoperative teaching plan, which of the following actions should she take?

6 : A nurse is collecting data on a client who is one day postoperative. The nurse should recognize which of the following findings is a manifestation of atelectasis?

7 : A nurse is caring for a client who reports feeling anxious about abdominal surgery the next day. Which of the following actions should the nurse plan to take?

8 : A nurse is reviewing the client's medical record and notices a family history of malignant hyperthermia. In which of the following sections of the SBAR communication tool should the nurse include this information when completing handoff to the surgical team?

9 : A nurse is caring for a client who is newly-admitted and has angina. The client asks the nurse, "Why am I taking nitroglycerin?" Which of the following responses should the nurse make?

10 : A nurse withdraws morphine 2 mg from a vial that contains 4 mg/mL to inject IM for a client. Which of the following actions should the nurse take for wasting the excess medication?

1 :
A nurse is assisting with preoperative teaching for a client. Which of the following outcomes should the nurse expect?

2 :
A nurse is caring for a client who is returning to the medical-surgical unit following a procedure that required spinal anesthesia. Which of the following findings should indicate to the nurse the client is experiencing a complication related to the anesthesia?

3 :
A nurse is preparing to administer morphine 15 mg subcutaneously. The amount available is morphine injection 10 mg/mL. How many mL should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

4 :
A nurse is reinforcing teaching with a newly licensed nurse about causative risk factors for deep vein thrombosis (DVT). Which of the following should be included in the teaching? (Select All that Apply.)

5 :
A nurse is caring for a client who has just learned he will need exploratory surgery the next day. As the nurse contributes to the preoperative teaching plan, which of the following actions should she take?

6 :
A nurse is collecting data on a client who is one day postoperative. The nurse should recognize which of the following findings is a manifestation of atelectasis?

7 :
A nurse is caring for a client who reports feeling anxious about abdominal surgery the next day. Which of the following actions should the nurse plan to take?

8 :
A nurse is reviewing the client's medical record and notices a family history of malignant hyperthermia. In which of the following sections of the SBAR communication tool should the nurse include this information when completing handoff to the surgical team?

9 :
A nurse is caring for a client who is newly-admitted and has angina. The client asks the nurse, "Why am I taking nitroglycerin?" Which of the following responses should the nurse make?

10 :
A nurse withdraws morphine 2 mg from a vial that contains 4 mg/mL to inject IM for a client. Which of the following actions should the nurse take for wasting the excess medication?