A patient fearful of anesthesia asks the nurse to make sure that she wakes up after surgery just so she can see her family one more time if she is going to die. What should the nurse do to support this patient?

1. Attempt to reduce the patient's fears and discuss these fears with the surgical team.
2. Tell the patient that no one is going to let her die.
3. Explain that everyone who undergoes anesthesia thinks they won't wake up.
4. Tell the patient there is no guarantee that she won't die during the procedure.


1
Rationale 1: The nurse should try to reduce the patient's fears but also communicate them to the surgical team. The anesthesiologist might be able to provide medication to help reduce the patient's anxiety.
Rationale 2: The nurse should not promise the patient that she isn't going to die.
Rationale 3: The nurse should not minimize or invalidate the patient's fears.
Rationale 4: The nurse should not compound the patient's fears by saying there is no guarantee she won't die.

Nursing

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Based on current demographic data, which identifies a predictive trend regarding the health care needs of society?

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A client admitted to the nursing unit for treatment of his heart failure has a history of alcohol abuse. The nurse should:

a. collaborate with the health care provider for a prescription for scheduled doses of chlordiazepoxide. b. closely monitor the client for delirium tremors common within the first 24 hours after hospital admission. c. be sure all side rails are in the up position and that the client is properly restrained. d. have members of the client's family take turns staying at the bedside, so the client is never left alone.

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Mr. Jones is to receive 2.25 mL of a liquid medication every 4 hours. How much medication will he receive duringĀ days?

A. 50 mL B. 40.5 mL C. 47.25 mL D. 13.5 mL

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