The nurse has provided preoperative teaching, and determines that further teaching is needed when the client states:
1. "Once I receive the preoperative medication, I will need to remain in bed."
2. "I can wait until just before leaving for the operating room to remove my wedding ring and false teeth."
3. "My family will wait for me in the holding area while I am in surgery."
4. "I should not eat or drink anything for eight hours before surgery."
3
Rationale: The client's family may be allowed in the holding area, depending on facility policy, to stay with the client until she leaves for surgery. Once the client has been taken to the OR, the family will go to the waiting room, and will be informed of the client's condition when the surgery is completed, or occasionally, throughout an extended procedure. The remaining statements are correct.
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A client with serious medical problems wants to leave the hospital without a physician's discharge order. The client is mentally competent. Legally, the priority nursing action is which of the following?
1. Administer a sedative to keep him from leaving. 2. Find out why the client is leaving, and correct the situation so he will stay. 3. Notify the nursing supervisor. 4. Notify the client's family about the situation.
The best measure of sleep adequacy is
A) blood pressure. B) pulse. C) temperature. D) self-report.
The nurse is assessing an intubated patient who returned from coronary artery bypass surgery 3 hours ago. Which assessment finding might indicate that this patient is experiencing pain?
a. Blood pressure 160/82 mm Hg b. Temperature 100.6°F c. Heart rate 80 beats/min d. Oxygen saturation 95%
The patient with type 1 diabetes mellitus and peripheral arterial disease receives a bed bath. Which foot care technique should the nurse use for this patient?
a. Soak the feet in warm water. b. Allow the feet to stay moist. c. Use warm water to cleanse the feet. d. Cut the nails in a curved shape.