During preoperative assessment, the patient says, "My surgery must be minor because it's being done on an outpatient basis.". How should the nurse respond?
1. "Every surgical procedure is serious, and I will make sure you have the information you need for a successful recovery.".
2. "You are right.".
3. "If it were more serious, you would be admitted to the hospital.".
4. "Your insurance plan does not cover inpatient surgical procedures. That's why your surgery is being done on an outpatient basis.".
1
Rationale 1: The outpatient surgical patient must cope with the additional stress of needing to learn a great deal of information in a short span of time. The nurse should explain that every surgical procedure is serious and that the patient will be given information to have a successful recovery.
Rationale 2: The nurse should not agree with the patient that the surgery is minor just because it is scheduled as an outpatient procedure.
Rationale 3: Patients are admitted to the hospital for monitoring and nursing care. The "seriousness" of the surgery is not the determining factor.
Rationale 4: Outpatient surgery is less expensive and is preferred by insurance companies if patient safety can be assured. However, most plans allow for admission to the hospital after surgery if the patient's condition warrants admission.
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The nurse is taking a health history from the family of a 3-year-old child. The statement or question by the nurse that would be most likely to establish rapport and elicit an accurate response from the family is:
1. "Does any member of your family have a history of asthma, heart disease, or diabetes?" 2. "Hello, I would like to talk with you and get some information on you and your child." 3. "Tell me about the concerns that brought you to the clinic today." 4. "You will need to fill out these forms; make sure that the information is as complete as possible."
A nurse prepares to collect a stool sample from a patient to test for fecal fat. Which of the following guidelines accurately describes a consideration in this process?
A) Discard a stool sample if the patient is menstruating or has placed toilet paper into the commode with the stool. B) Redo a test if the specimen has been inadvertently left on the counter instead of being sent to the laboratory. C) Do not collect a stool sample from an incontinence brief or diaper of a patient, because it may have been contaminated with urine. D) If a timed stool test is ordered, such as fecal fat, the entire amount of stool produced for 24 to 72 hours should be sent to the laboratory.
The nurse has entered a hospital patient's room and asked him if he plans to attend the morning's scheduled group life-skills session. Which of the following responses should signal the presence of thought blocking to the nurse?
A) "Warning, warning, watch your back." B) "I might. I'll give it some…." C) "Well, that's certainly the end of that." D) The client makes eye contact with the nurse but does not respond verbally.