The nurse requests the client to sign a surgical informed consent form for an emergency appendectomy. Which statement by the client indicates further teaching is needed?
1. "I will be glad when this is over so I can go home today."
2. "I will not be able to eat or drink anything prior to my surgery."
3. "I can practice relaxing by listening to my favorite music."
4. "I will need to get up and walk as soon as possible."
1. "I will be glad when this is over so I can go home today."
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The nurse is inspecting the scrotum and testes of a 43-year-old man. Which finding would require additional follow-up and evaluation?
a. Skin on the scrotum is taut. b. Left testicle hangs lower than the right testicle. c. Scrotal skin has yellowish 1-cm nodules that are firm and nontender. d. Testes move closer to the body in response to cold temperatures.
An older adult client receiving medication for hypertension had a recent fall at home. Which intervention should the nurse include in this client's plan of care?
A) Monitor serum sodium levels. B) Assess postural blood pressures. C) Monitor serum creatinine levels. D) Monitor blood pressure every 2 hours.
A nurse comes upon a traffic accident where injured, unconscious people are lying on the highway. What should the nurse be aware of regarding the sanctioning of first-aid interventions in this scenario?
a. Good Samaritan Act b. Emergency Care Doctrine c. Fifth Amendment d. Liability Protection against Malpractice Act
A 31-year-old patient has returned to the post-surgical unit following a hysterectomy. The patient's care plan addresses the risk of hemorrhage. How should the nurse best monitor the patient's postoperative blood loss?
A) Have the patient void and have bowel movements using a commode rather than toilet. B) Count and inspect each perineal pad that the patient uses. C) Swab the patient's perineum for the presence of blood at least once per shift. D) Leave the patient's perineum open to air to facilitate inspection.