Author Question: The nurse is preparing an older adult client for surgery. Which topics should the nurse focus when ... (Read 59 times)

ap345 · **on:** Jun 25, 2018

The nurse is preparing an older adult client for surgery. Which topics should the nurse focus when preparing this client's preoperative teaching?

Select all that apply.
A) Level of hearing
B) Including the family in the perioperative care plan
C) Teaching on deep breathing and coughing
D) Plans for discharge care
E) Actions to prevent pressure ulcers

Question 2

The nurse is preparing a client for emergency surgery to repair liver and colon lacerations caused by a motor vehicle crash. Which information about this type of surgery will the nurse use to guide the client's care?

Select all that apply.
A) An organ is going to be removed.
B) This is an emergency surgery.
C) The client will be hospitalized longer.
D) The client is at risk for blood loss.
E) The client is at risk for hypothermia.

Pswine · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A, C, D, E

Including the family as much as possible in perioperative care plan would be appropriate for a pediatric client. For the older client, make sure the client can hear the information to be presented or provide information through alternative means. Older adults are at greater risk for pneumonia and other postoperative complications and should have teaching related to deep breathing and coughing. The older client is going to need assistance once discharged and should have the necessary medical equipment such as walkers and raised toilet seats, assistance with transportation, or extended care. The older client is at risk for pressure ulcer formation because of poor nutritional status, diabetes, cardiovascular illness, or history of steroid use.

Answer to Question 2

Answer: B, C, D, E

The suffix -ectomy indicates removal of an organ. The client is having surgery to repair lacerations. No organ is identified for removal. Emergency surgery is performed when a condition is life-threatening. Surgery to control internal hemorrhage from lacerations is an example of emergency surgery. An open procedure usually requires a longer hospital stay. Open procedures place the client at a higher risk for blood loss. If there is a large surgical opening, the client cannot be adequately covered and will be exposed to cold surgical suite air, and can develop hypothermia.