A patient with a ruptured abdominal aortic aneurysm needs to have major surgery. The nurse explains to the family that major surgery:
a. is an excision or removal of a diseased body part.
b. involves extensive surgery to reconstruct body parts.
c. is not necessary but may prevent additional problems.
d. is a surgical exploration that allows the physician or health care provider to confirm a diagnosis.
B
Major surgery involves extensive reconstruction or alteration in body parts; poses great risks to the patient's well-being. Urgent surgery is necessary for the patient's health and will possibly prevent additional problems from developing. Elective surgery is performed on a basis of the patient's choice. It is not always essential, and it is not always necessary for health. Diagnostic surgical exploration allows the physician or health care provider to confirm a diagnosis.
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A student nurse is going to be changing an abdominal dressing; the first step is to provide the patient with information regarding the procedure. Which of the following represents the best plan for completing this task?
A) "The dressing change is often painful; we will be giving you pain medication prior to the procedure so you do not have to worry." B) "During the dressing change, I will provide privacy at a time of your choosing; it should not be painful. You can look at the incision and help with the procedure if you want to." C) "The dressing change should not be painful but you can never be sure; infection is always a concern." D) "The best time for doing a dressing change is during lunch so we are not interrupted; I will provide privacy, and it should not be painful."
A 20-year-old has been admitted to a rehabilitation center after hospital treatment for an ischemic stroke. Which of the following aspects of the client's history would be considered to have contributed to his stroke? Select all that apply. The client
A) is an African American male. B) takes iron supplements for the treatment of chronic anemia. C) blood pressure has historically been in the range of 150s/90s. D) was diagnosed with type 2 diabetes 8 years ago. E) takes corticosteroids for the treatment of rheumatoid arthritis.
The nurse is preparing to examine a male patient's reproductive organs. What should the nurse do in preparation for this examination?
Select all that apply. 1. secure a private examination room 2. use clean hands for the examination 3. ask the patient to lie down on the exam table 4. ask the patient to empty his bladder 5. make sure the room temperature is cool
The triple marker test is used to assess the fetus for which condition?
1. Down syndrome 2. Diaphragmatic hernia 3. Congenital cardiac abnormality 4. Anencephaly