Kaplan NCLEX Practice Question of the Day

A client with inflammatory arthritis who takes prednisone is scheduled for an elective surgery. Which client teaching is most important for the nurse to provide?

The purpose of coughing and deep breathing after anesthesia.

The resources that are available to assist with care after discharge.

The signs and symptoms that indicate the development of infection.

The explanation of a precise schedule for stopping steroid medication.

Correct

Incorrect

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The nurse will promote client compliance by explaining the purpose for coughing and deep breathing after anesthesia. The information is important in order to prevent respiratory complication. However, it is not the most important teaching for this client.
Preoperative teaching about available client care resources following surgery is important, and is based on each client's specific needs. However, it is not the most important teaching for this client.
The nurse will teach the client how to recognize the signs and symptoms that indicate the development of infection in order to promote healing and prevent complications. However, this is not the most important teaching for this client.
CORRECT - The most important teaching for this client is to explain the precise schedule to follow for stopping the prescribed prednisone. Dose adjustment is required before surgery. However, the drug needs to be gradually decreased to prevent withdrawal symptoms and to promote adrenal recovery.

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