Author Question: A client with a history of sleep apnea has had a same-day surgery procedure that will require the ... (Read 29 times)

mckennatimberlake · **on:** Jul 23, 2018

A client with a history of sleep apnea has had a same-day surgery procedure that will require the administration of morphine postoperatively to manage pain.

This client will be assessed most appropriately by the perioperative nurse for the risk for respira-tory complications by frequently:
1. Listening to breath sounds
2. Monitoring pulse oximetry
3. Evaluating spirometer use
4. Counting respirations per minute

Question 2

A 74-year-old is accompanied by his daughter to the ambulatory surgery department for the sur-gical removal of a suspicious skin lesion. The client has experienced dysphasia since a cerebral vascular accident 3 years ago.

The most effective way for the nurse to secure the necessary preoperative interview information is to:
1. Question the client's daughter
2. Review the client's past medical records
3. Present the questions in a simple format
4. Rely on the client's preadmission survey

Joy Chen · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 1
Administration of opioids increases risk for airway obstruction postoperatively. Clients will de-saturate as revealed by a drop in oxygen saturation by pulse oximetry. The remaining options are not as specific for this particular client's risk.

Answer to Question 2

ANS: 1
If a client is unable to relate all of the necessary information, rely on family members as re-sources. The remaining options are not reliable, effective methods of securing information re-garding this client.