The preoperative nurse is teaching a 78-year-old client, who is very anxious about surgery. Which does the nurse use to provide preoperative teaching and discharge instructions to the client? (Select all that apply.)
1. Keep client instructions simple.
2. Choose a calm place for teaching.
3. Remember that the anxiety will pass.
4. Consider effects of aging on memory.
5. Provide written materials for reference.
6. Administer anxiolytics before teaching.
1, 2, 4, 5
1. Keeping instructions simple increases the chance that the client will understand and comply with instructions. When directions are too complicated, the client can become frustrated and ignore the complicated regimen.
2. Choosing a calm place promotes client concentration and reduces distraction. In addition, with an older client, choosing a calm environment displays respect for the client and the client's privacy and improves the client's ability to hear the instructions because, as people age, environmental noise can make it impossible to hear.
4. Many clients lose short-term memory with age, so the nurse needs to prepare for this by providing reinforcement with printed materials or a telephone reminder.
5. Written materials provide supplemental material for client reference when preceded with explanations and an opportunity for questions.
3. The anxiety may not pass.
6. The nurse does not fulfill the duty owed to the client by providing preoperative instructions to a client affected by medication. In a court of law, instructions given under the influence of a sedative are considered null and void.
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