A client in the preoperative holding room has received sedation and now needs to urinate. What action by the nurse is best?
a. Allow the client to walk to the bathroom.
b. Delegate assisting the client to the nurse's aide.
c. Give the client a bedpan or urinal to use.
d. Insert a urinary catheter now instead of waiting.
Question 2A client waiting for surgery is very anxious. What intervention can the nurse delegate to the unlicensed assistive personnel (UAP)?
a. Assess the client's anxiety.
b. Give the client a back rub.
c. Remind the client to turn.
d. Teach about postoperative care.
Question 3A postoperative client has an abdominal drain. What assessment by the nurse indicates that goals for the priority client problems related to the drain are being met?
a. Drainage from the surgical site is 30 mL less than yesterday.
b. There is no redness, warmth, or drainage at the insertion site.
c. The client reports adequate pain control with medications.
d. Urine is clear yellow and urine output is greater than 40 mL/hr.
Question 4A nurse is giving a client instructions for showering with special antimicrobial soap the night before surgery. What instruction is most appropriate?
a. After you wash the surgical site, shave that area with your own razor.
b. Be sure to wash the area where you will have surgery very thoroughly.
c. Use a washcloth to wash the surgical site; do not take a full shower or bath.
d. Wash the surgical site first, then shampoo and wash the rest of your body.