Which topic is most important for the nurse to discuss ...

[penguins]

Which topic is most important for the nurse to discuss preoperatively with a patient who is scheduled for abdominal surgery for an open cholecystectomy?
 
  a. Care for the surgical incision
  b. Medications used during surgery
  c. Deep breathing and coughing techniques
  d. Oral antibiotic therapy after discharge home

Question 2

Five minutes after receiving the ordered preoperative midazolam (Versed) by IV injection, the patient asks to get up to go to the bathroom to urinate. Which action by the nurse is most appropriate?
 
  a. Assist the patient to the bathroom and stay with the patient to prevent falls.
  b. Offer a urinal or bedpan and position the patient in bed to promote voiding.
  c. Allow the patient up to the bathroom because medication onset is 10 minutes.
  d. Ask the patient to wait because catheterization is performed just before the surgery.

[Eazy416]

Answer to Question 1

ANS: C
Preoperative teaching, demonstration, and redemonstration of deep breathing and coughing are needed on patients having abdominal surgery to prevent postoperative atelectasis. Incisional care and the importance of completing antibiotics are better discussed after surgery, when the patient will be more likely to retain this information. The patient does not usually need information about medications that are used intraoperatively.

Answer to Question 2

ANS: B
The patient will be at risk for a fall after receiving the sedative, so the best nursing action is to have the patient use a bedpan or urinal. Having the patient get up either with assistance or independently increases the risk for a fall. The patient will be uncomfortable and risk involuntary incontinence if the bladder is full during transport to the operating room.

[penguins]

Thanks for the timely response, appreciate it

[amit]

TYSM