Given a rationale for preoperative and postoperative procedures, ...

[rmenurse]

Given a rationale for preoperative and postoperative procedures, the client is better prepared to participate in care. For which of the following should the nurse provide instruction and rationale?
 
  1. Incentive spirometry
  2. Specific details regarding the progression of diet
  3. Working the call button for the nurse
  4. Using the patient-controlled analgesia (PCA) pump

Question 2

A 48-year-old male client with a history of chronic obstructive pulmonary disease (COPD) is scheduled for an inguinal hernia repair.
 
  The nurse instructs that client that he can expect the health care provider to order which of the following tests before surgery?
  1. Human immunodeficiency virus (HIV) antibody
  2. Prolactin level
  3. Pulmonary function test
  4. Glucose tolerance test

[fromAlphatoOmega22]

Answer to Question 1

ANS: 1
Given a rationale for preoperative and postoperative procedures, the client is better prepared to participate in care. The diet progression should be discussed with the client by the unit nurse as the postsurgical diet progresses. The call light may be specific to the unit the client is on and is best taught to the client once he or she is on the unit so that the client can demonstrate to the nurse that he or she understands how to use it. The PCA pump is best taught to the client once he or she is on the unit so that the client can demonstrate to the nurse that he or she understands how to use it.

Answer to Question 2

ANS: 3
Pulmonary function testing and occasionally arterial blood gas analysis are often performed be-fore surgery on clients with preexisting lung disease. An HIV-antibody test diagnoses HIV. It is not a test that is normally ordered before surgery. Prolactin levels are used to diagnose and mon-itor prolactin-secreting pituitary adenomas. A glucose tolerance test is used to assist in the diag-nosis of diabetes mellitus and is also used in the evaluation of hypoglycemia. It is not a test that is normally ordered before surgery.

[rmenurse]

Gracias!

[phuda]

TYSM