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Question

Difficulty: EasyReduction of Risk Potential

A practical nurse is preparing a client for a scheduled abdominal surgery. To reduce the risk of perioperative complications, which actions must the nurse ensure are completed before the client is transported to the operating room? Select all that apply.

  1. Verifying the client's adherence to the prescribed nothing-by-mouth (NPO) status.Answer
  2. Confirming the surgical consent document contains the client's signature.Answer
  3. Instructing the client to empty their bladder prior to receiving any preoperative sedatives.Answer
  4. D
    Explaining the potential surgical complications and alternative treatments to the client.
  5. E
    Administering prescribed preoperative intravenous (IV) push analgesics to the client.
  6. F
    Bypassing the barcode scanning of the client's identification band when giving on-call medications if the client is visually recognized.

Answer

The correct actions include verifying NPO status, confirming the surgical consent is signed, and instructing the client to empty their bladder before receiving preoperative sedatives.
Preoperative preparation focuses heavily on reducing intraoperative and postoperative risks. Verifying NPO status prevents aspiration during anesthesia. Confirming a signed consent protects the client's legal rights and verifies readiness. Having the client void before administering preoperative sedatives prevents falls (as the client should not get out of bed after sedation) and reduces the risk of bladder distention or injury during the surgical procedure.

Step-by-Step Solution

1
Identify the primary goal of the clinical scenario.
The goal is to determine appropriate practical nursing actions for preoperative risk reduction.
Understanding the phase of care (preoperative) helps identify which safety checklists and scope-of-practice rules apply.
2
Evaluate each potential action against the practical nurse's scope of practice and general safety protocols.
Verifying NPO status, confirming consent signatures, and having the client void are within scope and promote safety. Explaining surgical risks, administering IV push medications, and bypassing barcode scans are unsafe or out of scope.
Eliminating actions that violate foundational safety standards or exceed the licensed practical nurse's scope accurately isolates the correct choices.

Key Concept

Preoperative Risk Reduction and Scope of Practice
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Topics

Reduction of Risk Potential

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