Question

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

Option 1: Avoid oral hygiene and rinsing with mouthwash.
Option 2: Verify that the client has not eaten for the last 24 hours.
Option 3: Have the client void immediately before going into surgery.
Option 4: Report immediately any slight increase in blood pressure or pulse.

Answer 1

The nurse should include the activity of having the client void immediately before going into surgery in the nursing care plan.

Step-by-step explanation:

The nurse should include the following activity in the nursing care plan for the client on the day of surgery:

1. Avoid oral hygiene and rinsing with mouthwash.
2. Verify that the client has not eaten for the last 24 hours.
3. Have the client void immediately before going into surgery.
4. Report immediately any slight increase in blood pressure or pulse.

Out of these options, the nurse should include Option 3: Have the client void immediately before going into surgery.

Voiding before surgery helps in emptying the bladder, reducing the risk of bladder injury during surgery and preventing the need for a urinary catheter. It also promotes patient comfort and decreases the need for postoperative bladder catheterization.

Keywords: nursing care plan, surgery, oral hygiene, eating, voiding, blood pressure, pulse.