As a perioperative nurse, how can you best meet the safety need of the client after administering preoperative narcotic?

Correct Answer: A

Rationale: The correct answer is A because after administering a preoperative narcotic, the client may experience drowsiness and impaired coordination, increasing the risk of falls. Putting side rails up and instructing the client not to get out of bed helps prevent falls and ensures safety. Choice B is incorrect because sending the client to the operating room with family members does not address the safety concerns related to the effects of the narcotic. Choice C is incorrect because allowing the client to get up to go to the comfort room may lead to a higher risk of falls due to drowsiness and impaired coordination. Choice D is incorrect because obtaining consent form is not directly related to meeting the safety needs of the client after administering a preoperative narcotic.

Correct Answer: D

Rationale: The correct answer is D: Communication. Effective communication is essential for teamwork to function smoothly. Without clear and open communication among team members, misunderstandings, conflicts, and lack of coordination can arise, leading to breakdowns in teamwork. Adequate communication ensures that team members are on the same page, understand their roles and responsibilities, and can collaborate effectively. Choices A, B, and C are incorrect as they do not directly address the root cause of teamwork breakdown, which is the lack of communication.

Correct Answer: B

Rationale: The correct answer is B: Convenience. Convenience sampling allows researchers to select any available group of subjects easily accessible to them. This method is often used when specific groups are difficult to reach or when time and resources are limited. Rationale: 1. Purposive sampling (A) involves selecting specific subjects based on predetermined criteria, limiting the flexibility to choose any group. 2. Snow-ball sampling (C) relies on referrals from initial subjects, leading to a biased sample and not allowing for any group selection. 3. Quota sampling (D) involves selecting subjects based on specific characteristics to ensure representation, which also restricts the use of any group. In summary, convenience sampling is the only method that allows for the use of any group of research subjects, making it the correct choice in this scenario.

Correct Answer: B

Rationale: The correct answer is B, "In the operating room." This is because applying the drainage appliance to the stoma immediately after the ileostomy creation in the operating room allows for immediate containment of effluent and reduces the risk of skin irritation or infection. Choice A is incorrect as immediate application is necessary to prevent skin damage. Choice C is incorrect because waiting for the ileostomy to begin functioning can lead to effluent coming into contact with the skin. Choice D is incorrect as self-care procedures should be initiated after application of the drainage appliance to ensure proper stoma care.

Correct Answer: B

Rationale: The correct answer is B: Avoid foods high in vitamin K. Anticoagulants work by preventing blood clotting, and vitamin K is essential for blood clotting. Consuming foods high in vitamin K can interfere with the effectiveness of the anticoagulant medication, leading to potential bleeding risks. Therefore, the nurse should educate the client to avoid such foods to maintain the therapeutic levels of the anticoagulant. Incorrect choices: A: Reporting incidents of diarrhea is important but not directly related to anticoagulant therapy. C: Using a straight razor when shaving can increase the risk of cuts and bleeding, which is contraindicated for a client on anticoagulants. D: Taking aspirin for pain relief is not recommended for a client on anticoagulants due to the increased risk of bleeding.