Author Question: A nurse is concerned that a preoperative client has a great deal of anxiety about the upcoming ... (Read 41 times)

asd123 · **on:** Jun 25, 2018

A nurse is concerned that a preoperative client has a great deal of anxiety about the upcoming procedure. What action by the nurse is best?

a. Ask the client to describe current feelings.
b. Determine if the client wants a chaplain.
c. Reassure the client this surgery is common.
d. Tell the client there is no need to be anxious.

Question 2

The perioperative nurse manager and the postoperative unit manager are concerned about the increasing number of surgical infections in their hospital. What action by the managers is best?

a. Audit charts to see if the Surgical Care Improvement Project (SCIP) outcomes were met.
b. Encourage staff on both units to provide peer pressure to adhere to hand hygiene policy.
c. Hold educational meetings with the nursing and surgical staff on infection prevention.
d. Monitor staff on both units for consistent adherence to established hand hygiene practices.

hugthug12 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
The nurse needs to conduct further assessment of the client's anxiety. Asking open-ended questions about current feelings is an appropriate way to begin. The client may want a chaplain, but the nurse needs to do more for the client. Reassurance can be good, but false hope is not, and simply reassuring the client may not be helpful. Telling the client not to be anxious belittles the client's feelings.

Answer to Question 2

ANS: A
The SCIP project contains core measures that are mandatory for all surgical clients and focuses on preventing infection, serious cardiac events, and venous thromboembolism. The managers should start by reviewing charts to see if the guidelines of this project were implemented. The other actions may be necessary too, but first the managers need to assess the situation.