A client demonstrates signs of apprehension whenever the topic of upcoming surgery is introduced. The nurse selects which of the following nursing diagnoses as most appropriate for this client and circumstances?
1. Powerlessness
2. Compromised family coping
3. Fear
4. Disturbed thought processes
ANS: 3
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During preoperative teaching, the patient asks the nurse why she must have nothing by mouth for 8 hours before surgery. Which of the following is the most appropriate response for the patient?
A) "Food and fluid must be restricted for 8 hours before surgery so you are not at risk for aspiration." B) "The restriction of food or fluid will prevent the development of pneumonia related to decreased lung capacity." C) "The presence of food in the stomach interferes with the absorption of anesthetic agents." D) "By withholding food for 8 hours before surgery, you will not develop constipation in the postoperative period."
A child is undergoing rapid sequence intubation and is receiving atropine. The nurse understands that this agent is used to accomplish which of the following?
A) Lessen the vagal effects of intubation B) Reduce intracranial pressure C) Induce amnesia D) Provide short-term paralysis
Which information should the nurse include in the teaching of a client with type 1 diabetes mellitus that would like to participate in sports?
A. "Lower your dose of insulin." B. "Eat a large meal after your game." C. "Take an oral hypoglycemic agent on game days rather than insulin." D. "Eat a meal 1 hour before the game and consume a carbohydrate snack and fluids during the game."
When an aide feeds a client who has a poor appetite, the aide can encourage the client to eat by
a. telling him or her about the value of each kind of food b. feeding him or her all of one kind of food before starting on another c. appearing calm and unhurried d. encouraging the client to talk a lot