The nurse is preparing an older adult client for surgery. Which topics should the nurse focus when preparing this client's preoperative teaching?
Select all that apply.
A) Level of hearing
B) Including the family in the perioperative care plan
C) Teaching on deep breathing and coughing
D) Plans for discharge care
E) Actions to prevent pressure ulcers
Answer: A, C, D, E
Including the family as much as possible in perioperative care plan would be appropriate for a pediatric client. For the older client, make sure the client can hear the information to be presented or provide information through alternative means. Older adults are at greater risk for pneumonia and other postoperative complications and should have teaching related to deep breathing and coughing. The older client is going to need assistance once discharged and should have the necessary medical equipment such as walkers and raised toilet seats, assistance with transportation, or extended care. The older client is at risk for pressure ulcer formation because of poor nutritional status, diabetes, cardiovascular illness, or history of steroid use.
You might also like to view...
The population health nurse encourages a single parent of a child with juvenile arthritis to participate in weekly yoga classes. Which type of coping is the nurse encouraging this parent to develop?
1. Emotional. 2. Future-focused. 3. Problem-focused. 4. Appraisal-focused.
A 2-year-old child is scheduled for a tonsillectomy. When determining the plan of care, the nurse should:
a. Include the parents or caregivers in the plan of care b. Explain to the child that she will have a sore throat after surgery c. Tell the child that she can have her favorite foods for the first 24 hours after surgery d. Prepare the child for discharge from the hospital as soon as she is alert
A patient was the unrestrained driver of a car that was struck head on by another vehicle. During initial assessment, the nurse observes another nurse using supraorbital pressure to assess for response. What nursing intervention is indicated?
1. Hold the patient's head still so that the test will be valid. 2. Stop the procedure. 3. Ask the nurse to repeat the procedure on the other orbit. 4. Document the response as 1+, 2+, 3+, or 4+.
What should the nurse instruct a client to promote urinary elimination?
1. Don't interrupt your day by going to the bathroom; wait until you're at a good stopping place. 2. Drink 8 to 10 glasses of water daily. 3. Urine color changes are not important. 4. Wash with soap and water every other day.