Nursing 120 Med Surg Exam Questions and Answers – Latest Answers 2023 Score 100%.

Nursing 120 Med Surg Exam Questions and Answers – Latest Answers 2023 Score 100%. A priority nursing intervention to assist a preoperative patient in coping with fear of postoperative pain would be to a. informs the patient that pain medication will be available. b. teach the patient to use guided imagery to help manage pain. c. describe the type of pain expected with the patient's particular surgery. d. explain the pain management plan, including the use of a pain rating scale. Correct answer: d Rationale: If a patient has fear of pain and discomfort after surgery, the nurse should reassure the patient that a pain management plan will be in place. The nurse should teach the patient to ask for medications after surgery when pain is present and assure him or her that taking these medications will not contribute to an addiction. The nurse should instruct the patient on the use of some form of pain rating scale (e.g., 0 to 10, FACES) and to request pain medication before the pain becomes severe. A patient is scheduled for surgery requiring general anesthesia at an ambulatory surgical center. The nurse asks him when he ate last. He replies that he had a light breakfast a couple of hours before coming to the surgery center. What should the nurse do first? a. Tell the patient to come back tomorrow, since he ate a meal. b. Proceed with the preoperative checklist, including site identification. c. Notify the anesthesia care provider of when and what the patient last ate. d. Have the patient void before administering any preoperative medications. Correct answer: c Rationale: The nothing-by-mouth (NPO) protocol of each surgical facility should be followed. Restriction of fluids and food is designed to minimize the potential risk of pulmonary aspiration and to decrease the risk of postoperative nausea and vomiting. If a patient has not followed the NPO instructions, surgery may be delayed or canceled. The nurse should notify the anesthesia care provider immediately. A patient who normally takes 40 units of glargine insulin (long acting) at bedtime asks the nurse what to do about her dose the night before surgery. The best response would be to have her a. skip her insulin altogether the night before surgery. b. take her usual dose at bedtime and eat a light breakfast in the morning. c. eat a moderate meal before bedtime and then take half her usual insulin dose. d. get instructions from her surgeon or health care provider on any insulin adjustments. Correct answer: d Rationale: Insulin is not usually omitted completely. The patient should obtain instructions from her health care provider or surgeon about any dosage adjustments that she should make the day before and the morning of surgery (if applicable). Preoperative considerations for older adults include (select all that apply) a. only using large-print educational materials. b. speaking louder for patients with hearing aids. c. recognizing that sensory deficits may be present. d. providing warm blankets to prevent hypothermia. e. teaching important information early in the morning.