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

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• Q4:

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  • Related Questions
  • What should I do after spinal anesthesia?
  • What is spinal anesthesia used for?
  • What are the complications of spinal anesthesia?
  • Which assessments are made upon the patients arrival to the post anesthesia care unit following surgery?

  A client who is extremely overweight has been advised to lose weight before surgery. To encourage the client, the nurse knows that the most appropriate statement is A) "It will decrease the operating room time by half if you lose weight." B) "Surgery requires more anesthesia if you are overweight." C) "With the weight loss, you decrease the chance of complications after surgery." D) "You'll feel better after surgery if you lose the weight before."

  

• Q5:

  When teaching the proper method of coughing, the nurse should instruct the client to A) breathe in and out through the nose. B) deep-breathe after coughing. C) relax the abdominal muscles. D) splint the incision.

• Q6:

  Before administering the preoperative medication, the nurse should A) ensure that the permit has been properly signed. B) have the unlicensed assistive personnel call for transportation. C) make sure there is nothing else left to do. D) take and record a set of vital signs.

• Q7:

  The nurse explains to a preoperative class of six clients awaiting surgery that studies indicate the primary benefit of the class is to A) distribute information to the most individuals in a short time. B) explain legal responsibilities. C) promote a less complicated postoperative course. D) provide uniform information.

• Q8:

  Which action should receive high priority in an elderly client being placed on the operating room table? A) Attach the client to a cardiac monitor. B) Ensure that the correct operative site is exposed. C) Provide extra padding for joints and bony prominences. D) Understand which anesthetic agents are being used.

• Q10:

  A client scheduled for a dilation and evacuation following a miscarriage is visibly upset and states that she is frightened and does not know what to expect. The perioperative nurse best demonstrates understanding of the situation by saying A) "I'll give you something to help you relax." B) "Let me explain what is going to happen." C) "This is a simple procedure; it will be over in no time." D) "You're still young, and you can have more children."

• Q11:

  The nurse will plan preoperative teaching about how to cough and deep-breathe for A) 1 week before the procedure. B) immediately postoperatively. C) the afternoon before surgery. D) the nurse's first discussion about the surgery.

• Q12:

  The most appropriate explanation by the nurse to explain why a client cannot eat before surgery is A) "Anesthesia works best on an empty stomach." B) "The stomach should be empty to prevent complications." C) "There is not enough time before surgery to digest the food." D) "You will not have to go to the bathroom frequently before surgery."

• Q13:

  The methodology likely to be most effective in meeting a client's teaching/learning needs preoperatively is A) teaching only the client. B) teaching the client and family. C) using brief verbal instructions. D) using only written instructions.

• Q14:

  To lessen the postoperative complication of thrombophlebitis, the nurse would A) assist the client to sit up in bed after surgery. B) maintain the legs in an elevated position. C) massage the client's legs. D) remind the client to exercise the legs and feet.