Author Question: The female client on the surgical unit is being prepared for abdominal surgery with general ... (Read 54 times)

pepyto · **on:** Jul 23, 2018

The female client on the surgical unit is being prepared for abdominal surgery with general anes-thesia. In preparing this client for surgery, the nurse should:

1. Leave all of her jewelry intact
2. Provide her with sips of water for a dry mouth
3. Remove her makeup and nail polish
4. Remove her hearing aid before transport to the operating room

Question 2

The client tells the nurse that blowing into this tube thing (incentive spirometer) is a ridiculous waste of time. The nurse explains that the specific purpose of the therapy is to:

1. Directly remove excess secretions from the lungs
2. Increase pulmonary circulation
3. Promote lung expansion
4. Stimulate the cough reflex

mohan · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 3
All makeup, including nail polish, should be removed to expose normal skin and nail color to de-termine the client's level of oxygenation and circulation during and after surgery. Jewelry and other valuables should be given to family members or secured for safekeeping. A wedding band can be taped in place unless there is a risk that the client will experience swelling of the hand or fingers. For safety, metal items, such as for pierced areas, should be removed. The client should be allowed nothing by mouth (NPO) before surgery to prevent vomiting and aspiration with gen-eral anesthesia. Clients may be allowed to keep personal items such as a hearing aid until they reach the preoperative area.

Answer to Question 2

ANS: 3
The primary purpose of using an incentive spirometer is to promote lung expansion. Coughing exercises are used to remove excess secretions from the lungs. Ambulation helps increase pulmo-nary circulation as the respiratory rate increases. The primary purpose of incentive spirometry is not to stimulate the cough reflex, but to promote lung expansion.