Author Question: A 47-year-old female client has been scheduled to undergo surgery for removal of her gallblad-der. ... (Read 61 times)

WWatsford · **on:** Jul 23, 2018

A 47-year-old female client has been scheduled to undergo surgery for removal of her gallblad-der. Preoperatively the nurse is teaching the client what to expect when she wakes up in the postanesthesia care center.

The nurse tells the client that her vision may be blurry due to which of the following reasons?
1. The client's blood pressure may be high from the postoperative pain.
2. The client may be slow to arouse from the anesthesia, causing her vision to be blurred upon waking.
3. The anesthesia provider applies ointment to clients' eyes to prevent corneal dam-age.
4. The lighting in the postanesthesia area will be subdued, causing the client to have blurred vision upon waking.

Question 2

A 24-year-old male client has been scheduled to undergo surgery for an ACL repair of his right knee. The client states that he is confused about what the surgeon will be doing. The best re-sponse from the nurse is:

1. The surgeon went over this procedure with you in his office
2. Let me get the surgeon to talk with you before we proceed so that you fully un-derstand what will be happening
3. To share with the client what he can expect in regard to the procedure
4. This is just a simple procedureyou should feel much better afterwards

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

Answer to Question 1

ANS: 3
The anesthesia provider applies ointment to clients' eyes to prevent corneal damage. Warning clients about sensations of blurred vision will reduce their anxiety on awakening from surgery. The client's pain should be under control and therefore will not cause her blood pressure to be raised. The more subdued lighting in the postanesthesia care area should help the client's vision to focus upon coming out from under the anesthesia.

Answer to Question 2

ANS: 2
The surgeon is responsible for making sure that the client completely understands the procedure before the client gives informed consent. The client may not remember the conversation that the surgeon had with him regarding the procedure due to anxiety. The nurse should not discount the client's concerns.