A nurse is giving a client instructions for showering with ...

[Themember4]

A 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.

Question 2

A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having pain medication. What action by the nurse is best?
 
  a. Call the provider to request more analgesia.
  b. Demonstrate how to splint the incision.
  c. Have the client take shallower breaths.
  d. Tell the client a little pain is expected.

[livaneabi]

Answer to Question 1

ANS: B
The entire proposed surgical site needs to be washed thoroughly and completely with the antimicrobial soap. Shaving, if absolutely necessary, should be done in the operative suite immediately before the operation begins, using sterile equipment. The client needs a full shower or bath (shower preferred). The client should wash the surgical site last; dirty water from shampooing will run over the cleansed site if the site is washed first.

Answer to Question 2

ANS: B
Splinting an incision provides extra support during coughing and activity and helps decrease pain. If the client is otherwise comfortable, no more analgesia is required. Shallow breathing can lead to atelectasis and pneumonia. The client should know some pain is normal and expected after surgery, but that answer alone does not provide any interventions to help the client.