A nurse is concerned that a preoperative client has a great deal of anxiety about the upcoming procedure. What action by the nurse is best?
a. Ask the client to describe current feelings.
b. Determine if the client wants a chaplain.
c. Reassure the client this surgery is common.
d. Tell the client there is no need to be anxious.
Question 2The perioperative nurse manager and the postoperative unit manager are concerned about the increasing number of surgical infections in their hospital. What action by the managers is best?
a. Audit charts to see if the Surgical Care Improvement Project (SCIP) outcomes were met.
b. Encourage staff on both units to provide peer pressure to adhere to hand hygiene policy.
c. Hold educational meetings with the nursing and surgical staff on infection prevention.
d. Monitor staff on both units for consistent adherence to established hand hygiene practices.
Question 3A nurse assesses a client in the preoperative holding area and finds brittle nails and hair, dry skin turgor, and muscle wasting. What action by the nurse is best?
a. Consult the surgeon about a postoperative dietitian referral.
b. Document the findings thoroughly in the client's chart.
c. Encourage the client to eat more after recovering from surgery.
d. Refer the client to Meals on Wheels after discharge.
Question 4A student is caring for clients in the preoperative area. The nurse contacts the surgeon about a client whose heart rate is 120 beats/min. After consulting with the surgeon, the nurse administers a beta blocker to the client. The student asks why this was
a. A rapid heart rate requires more effort by the heart.
b. Anesthesia has bad effects if the client is tachycardic.
c. The client may have an undiagnosed heart condition.
d. When the heart rate goes up, the blood pressure does too.
Question 5A client who collapsed during dinner in a restaurant arrives in the emergency department. The client is going to surgery to repair an abdominal aortic aneurysm. What medication does the nurse prepare to administer as a priority for this client?
a. Hydroxyzine (Atarax)
b. Lorazepam (Ativan)
c. Metoclopramide (Reglan)
d. Morphine sulfate
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