When obtaining preoperative assessment data from a client, the ...

[fagboi]

When obtaining preoperative assessment data from a client, the nurse should include:
 
  1. Current health status.
  2. Allergies.
  3. Current medications.
  4. Mental status.
  5. Respiratory rate.

Question 2

A client in the post-anesthesia care unit is to have suction applied through a nasogastric tube. When documenting, the nurse should include:
 
  1. The time suction was started.
  2. Characteristics of wound drainage.
  3. Pressure on the suction.
  4. Integrity of the surgical dressing.
  5. Color and consistency of drainage.

[heinisk01]

Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: When documenting the current health status, essential information includes general health status and the presence of any chronic diseases that might affect the client's response to surgery or anesthesia.
Rationale 2: When documenting allergies, the nurse should include allergies to prescription and nonprescription drugs, food allergies, and allergies to tape, latex, soaps, or antiseptic agents.
Rationale 3: All current medications should be listed. Herbal remedies and over-the-counter preparations are also a part of this assessment.
Rationale 4: The client's current mental status is a part of this assessment.
Rationale 5: Respiratory rate is part of the physical assessment.

Answer to Question 2

Correct Answer: 1,3,5
Rationale 1: For the nasogastric tube placed to suction, the nurse should document the time suction was started.
Rationale 2: The characteristics of the wound drainage are not related to the nasogastric tube suction.
Rationale 3: For the nasogastric tube placed to suction, the nurse should document the pressure on the suction.
Rationale 4: The integrity of the surgical dressing is not related to the nasogastric tube suction.
Rationale 5: For the nasogastric tube placed to suction, the nurse should document the color and consistency of the drainage.

[fagboi]

Excellent

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