Author Question: The nurse is caring for an 80-year-old client preparing for surgery. The nurse realizes this client ... (Read 45 times)

sam.t96 · **on:** Jul 23, 2018

The nurse is caring for an 80-year-old client preparing for surgery. The nurse realizes this client is at increased risk because:

1. The physiological deficits of aging increase the surgical risk for older adults.
2. The older adult has increased kidney function.
3. The older adult has an increase in sensory function.
4. The older adult will turn, cough, and deep breathe more effectively.

Question 2

The nurse is caring for a client who is having surgery and is currently being transported to the operating room suite. The nurse would document that the client is in which operative phase?

1. Preoperative phase
2. Intraoperative phase
3. Postoperative phase
4. Perioperative phase

gasdhashg · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: The older adult has more physiological deficits, such as decreased kidney function and decreased thirst, and is at greater risk for fluid and electrolyte imbalances.
Rationale 2: The older client has decreased kidney function.
Rationale 3: The older client has a decline in sensory functioning.
Rationale 4: The older client may not be able to follow directions or understand instruction as well as a younger client.

Answer to Question 2

Correct Answer: 1
Rationale 1: The preoperative phase begins when the decision to have surgery is made and ends when the client is transferred to the operating table.
Rationale 2: The intraoperative phase begins when the client is transferred to the operating table and ends when the client is admitted to the PACU.
Rationale 3: The postoperative phase begins with the admission of the client to the postanesthesia area and ends when healing is complete.
Rationale 4: There is not a specific perioperative phase of surgical care. Perioperative care consists of three phases: preoperative, intraoperative, and postoperative.