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    Ati lpn medical surgical proctored exam

    A nurse has administered preoperative medications to a client. Which of the following actions should the nurse implement?

    Explanation & Rationale

    Administering preoperative medications often involves sedative or analgesic agents that alter the central nervous system. The nurse must prioritize safety interventions that prevent falls and injuries by applying knowledge of medication side effects and facility safety protocols. Choice A rationale Preoperative medications often cause dizziness, ataxia, and drowsiness. Allowing the client to walk to the bathroom increases the risk of falls; therefore, the nurse should provide a bedpan or urinal instead of assisting ambulation. Choice B rationale Client education regarding the surgical procedure must occur before preoperative medications are given. Sedatives impair the ability to process and retain information, making teaching ineffective and potentially confusing for the medicated client. Choice C rationale Side rails should be raised to provide a physical barrier and remind the sedated client to remain in bed. This action ensures client safety and prevents accidental falls resulting from medication-induced disorientation or altered balance. Choice D rationale Informed consent must be signed when the client is fully alert and oriented. Once preoperative medications are administered, the client is considered legally incapacitated to sign due to the mind-altering effects of the drugs.

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