Which patient statement indicates a need for further instruction about the emotional preparation for surgery?
a. "I'm going to hug my surgeon tomorrow."
b. "My fate is in the hands of my surgeon. I'm frightened about the outcome."
c. "I'll be ready for a cheeseburger when I get back."
d. "I know I may have some pain, but this gallbladder will be gone when I wake up."
B
This response demonstrates the patient's fear and insecurity, which warrant further discussion. Providing additional information or answering patient questions may help alleviate the patient's emotional unpreparedness for surgery. The plan for a cheeseburger indicates a potential need to further review nutrition in the postoperative period. The other responses demonstrate positive statements regarding the upcoming postsurgical period.
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A child has been admitted to the hospital with osteomyelitis. The nurse would expect to administer which intravenous antibiotic for this child?
1. Ampicillin or penicillin 2. Vancomycin or clindamycin 3. Gentamycin or tobramycin 4. Rifadin or rifampin
The nurse is preparing a seminar on planning for a hospitalization for residents of an assisted living facility. What information should the nurse include in the seminar? Standard Text: Select all that apply
1. Bring a copy of advanced directives for healthcare. 2. Bring a list of current medications and current labs. 3. Bring valuable jewelry and money to avoid leaving it unattended. 4. Bring good walking slippers, a bathrobe, and items such as books. 5. Bring several changes of clothing to avoid wearing a hospital gown.
One of your staff nurses asks for your advice because a patient refuses to sign a consent for surgery. The patient says that he won't sign because he doesn't understand the nature of the sur-gery. You advise that (select all that apply):
a. Consent must not be coerced. b. The patient has a right to choose not to consent. c. The patient must sign the consent because the doctor wants him to sign. d. Witnessing a consent is related only to the voluntary nature of the signature.
When discontinuing an IV, the nurse will:
1. remove the dressing, remove the catheter, dispose of the used equipment in the "sharps" container, and chart observations and actions. 2. observe the site for redness, swelling, and pain and put on sterile gloves. Remove the dressing catheter and chart findings and action. 3. observe the site for redness, swelling, and pain and put on clean gloves. Remove the dressing and catheter, place a 2 ? 2 dressing over the site, and chart findings and action. 4. observe the site for redness, swelling, and pain and put on clean gloves. Remove the dressing and catheter; chart findings and action.