As a patient is prepared for surgery, which finding indicates that the nurse should inform the surgeon that the surgery may need to be postponed?
a. The patient has a history of smoking.
b. The patient is experiencing calf pain, redness, and swelling.
c. The patient has an increased hemoglobin level.
d. The patient experienced an upper respiratory infection a month ago.
B
Observe the calves for redness, warmth, and tenderness. Palpate pedal pulses. If a thrombus is suspected, notify the physician and refrain from manipulating the extremity any further. Surgery usually will be postponed. Any condition that affects chest wall movement such as obesity, advanced pregnancy, thoracic or abdominal surgery, history of smoking, or presence of reduced hemoglobin level can increase the risk for postoperative complications but will not necessarily require postponement of surgery. Assess and report to the physician and/or the anesthesiologist if the patient has had a cold or an upper respiratory infection within the past week.
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Mr. P, a 70-year-old retired engineer, has diabetes and is on dialysis. He is a gourmet who takes pride in cooking delicious meals. His physical condition is quite good, but he is unhappy and bored with the restricted life he must lead
An old friend has invited him to travel across the country to San Francisco and spend a week there. Dialysis treatments can be arranged through a network of dialysis providers. How should Mr. P's charge nurse respond to this situation? A) Discourage the idea, as he is likely to eat and drink too much on vacation B) Discourage the idea, but provide as much helpful information as possible C) Encourage him to go, and provide as much helpful information as possible D) Encourage him to go, and advise him to relax regarding his condition for a week
To assist the woman in regaining control of the urinary sphincter after bladder surgery, the nurse should teach the client to do which of the following?
A) Perform Kegel exercises daily. B) Void every hour while awake. C) Limit her intake of fluid. D) Take a laxative every night.
Induction of labor is considered an acceptable obstetric procedure if it is a safe time to deliver the fetus
The charge nurse on the labor and delivery unit is often asked to schedule patients for this procedure and therefore must be cognizant of the specific conditions appropriate for labor induction, including which of the following? Select all that apply. a. Rupture of membranes at or near term b. Convenience of the woman or her physician c. Chorioamnionitis (inflammation of the amniotic sac) d. Postterm pregnancy e. Fetal death
The nurse educator is teaching a group of nursing students the pathophysiologic reasons related to genitourinary (GU) disorders in the pediatric population. Which statements are appropriate for the nurse educator to include in the teaching session?
1. "Incomplete organ development during fetal development is the cause of many GU disorders." 2. "Improper placement of the urethra in vagina is one cause of GU disorders." 3. "GU disorders in the pediatric population can be caused by hydronephrosis." 4. "GU disorders in the pediatric population are not caused by infections." 5. "Anatomic obstruction or incomplete nerve innervation can cause GU disorders."