The nurse is creating a plan of care for a client scheduled for surgery. The nurse would include which activity in the nursing care plan for the client on the day of surgery?

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Question 1 of 5

The nurse is creating a plan of care for a client scheduled for surgery. The nurse would include which activity in the nursing care plan for the client on the day of surgery?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

The nurse is caring for a patient with a drain connected to a portable drainage suction device shaped like a grenade made of plastic. Which term will the nurse use when describing this system during end-of-shift report?

Correct Answer: C

Rationale: Jackson-Pratt,' as it identifies the grenade-shaped, plastic, closed suction drain commonly used post-surgery to remove fluid. 'Closed wound drainage system' (A) is generic, not specific. 'Hemovac' (B) is a larger, spring-loaded drain, not grenade-shaped. 'Reinfusion drain' (D) returns blood to the patient, not applicable here. In nursing, precise terminology ensures clear communication; C aligns with NCLEX Perioperative, distinguishing device-specific reporting for continuity of care.

Question 3 of 5

The postanesthesia care unit (PACU) nurse is providing care for a patient who is exhibiting hypothermia. Which nursing action is appropriate?

Correct Answer: D

Rationale: Provide warm blankets or warming devices,' as hypothermia requires active rewarming to restore temperature standard PACU care. 'Breath sounds' (A) don't address cold. 'Glucose' (B) and 'opioids' (C) are unrelated. In nursing, rewarming prevents complications (e.g., coagulopathy); D aligns with NCLEX Perioperative, prioritizing thermal regulation.

Question 4 of 5

Which classification should the nurse document, according to the American Society of Anesthesiologists, for a patient who is not expected to survive without the planned surgical procedure?

Correct Answer: D

Rationale: 5,' as ASA 5 describes a moribund patient unlikely to survive 24 hours without surgery (e.g., ruptured aneurysm). '2' (A) is mild. '3' (B) is severe. '4' (C) is critical but not necessarily terminal. In nursing, ASA 5 prioritizes emergency measures; D aligns with NCLEX Perioperative, reflecting dire prognosis driving surgical urgency.

Question 5 of 5

Which action should the circulating nurse anticipate during the emergence phase of general anesthesia?

Correct Answer: D

Rationale: Suctioning the patient to decrease incidence of aspiration,' as emergence involves awakening, and suctioning clears secretions to prevent aspiration. 'Securing airway' (A) is earlier. 'Oxygen by mask' (B) may occur but isn't primary. 'Balanced anesthesia' (C) ends. In nursing, suctioning aids recovery; D aligns with NCLEX Perioperative, targeting emergence risks.

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