Which intervention would the nurse use to promote relaxation in the surgical holding area Quizlet
|
"You served as a good role model while showing the client the proper technigue for this intervention." Show
Appropriately demonstrating a technique is an example of role modeling. When demonstratng effective posturing, abdominal splinting, and breathing, the LPN is acting as a role role and is re-inforcing the implementaion of the intervention. This is a component of the nurse's role to teach/educate the client. While advocacy and reporting client needs are both nursing responsibilites, neither are focused directly on client teaching as is role modeling. Evaluation is a RN responsiblity and not delegated to the LPN. A nurse mentor is teaching a new nurse about the underlying beliefs of CHAs versus allopathic therapies. Which statements by the new nurse indicate that teaching was effective? Select all that apply. a. "CHA proponents believe the mind, body, and spirit are integrated and together influence health and illness." Remove cosmetics, nail polish, and artificial nails. Remove jewelry in piercings if electrocautery devices will be used. Remove all prosthetics, including dentures, contact lenses, and glasses. Ascertain that the patient has an empty bladder before going to operating room. The patient should remove all cosmetics to facilitate observation of skin color during surgery. Nail polish and artificial nails should be removed to help in assessing capillary refill and pulse oximetry. If electrocautery devices will be used, all jewelry in piercings should be removed as a safety measure. All prostheses, including dentures, contact lenses, and glasses, should be removed to prevent loss and damage. The nurse should ascertain that the patient's bladder is empty before going to the operating room because involuntary voiding can happen under the effect of sedatives administered during surgery. If the patient uses a hearing aid, it should be left intact to help the patient hear properly and be able to follow instructions. Hypotension Hypotension may be caused by propofol. It is ideal as an anesthetic used for short outpatient procedures, like tubal ligation. This may cause hypotension, bradycardia, apnea, transient phlebitis, nausea and vomiting, and hiccups. The nurse should monitor for hypotension and bradycardia in this patient. Ranitidine is an H2 receptor blocker and does not cause any of these assessment findings. Metoclopramide is an antiemetic and may cause headache, dizziness, dysphoria, dry mouth, or central nervous system sedation. A low-grade fever, tachycardia, or increased bleeding are not associated with any of these medications. Surgical attire, head cover, and mask In the restricted area of the surgical suite, masks are required to supplement surgical attire, which also includes covering all head and facial hair. The restricted area can include the operating room (OR), scrub sink area, and clean core. The unrestricted area is where people in street clothes can interact with those in surgical attire. These areas typically include the points of entry for patients (e.g., holding area), staff (e.g., locker rooms), and information (e.g., nursing station or control desk). The semirestricted area includes the surrounding support areas and corridors. Only authorized staff are allowed access to the semirestricted areas. All staff in the semirestricted area must wear surgical attire and cover all head and facial hair. Assess the location, quality, and intensity of pain. Monitor the patient for nausea, vomiting, and respiratory depression. Time the analgesic administration for effectiveness during painful activities. When administering analgesics to a postoperative patient, the nurse should assess the location, quality, and intensity of pain. The time of administration of the analgesic should be adjusted so that the patient is free of pain during activities like ambulation. The nurse should monitor the patient for analgesic side effects, including nausea, vomiting, and respiratory depression. Assessing the sleep/wake cycle, sensory and motor status, level of orientation, and ability to follow commands are part of a neurologic assessment and not a part of administering an analgesic. Which nursing intervention has the highest priority when preparing the client for a surgical procedure?Nursing Responsibilities
Safety is the highest priority.
What intervention does the nurse perform during preoperative preparation of a patient?The key nursing intervention during the preoperative period is patient and family education. Take every opportunity during the patient assessment and preparation for surgery, to provide information that will increase the patient's familiarity with the procedure, which will decrease anxiety.
Which action is appropriate for a circulating nurse to perform during a surgical procedure?Circulating Nurse
Once the surgery commences, the patient will be unable to advocate for him or herself. The circulating nurse acts as the mouthpiece for the patient. They observe the surgical team to confirm that all proper regulations are followed and provide the team with the necessary equipment.
What is the preoperative holding area?The preoperative holding area of the past was a waiting area for patients before surgery. Today it has evolved into a specialty area that is staffed by perianesthesia nurses who provide nursing assessment, monitoring, teaching, and emotional support to patients in a fast-paced environment.
|
