A client is to undergo an invasive procedure by a physician. The client is questioning some of the terminology in the consent form. Which of the following is the best response by the nurse?
A)
"You should have asked your physician when he was in here."
B)
"I'll call your physician back in the room to answer your questions."
C)
"Just sign the form, and I'll make sure your physician talks to you before he begins the procedure."
D)
"I'll explain whatever you don't understand."
B
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A widow, aged 72 years, lives alone and is visited weekly by her son. She takes digoxin,
hydrochlorothiazide, and an antihypertensive drug. She also has a prescription for diazepam (Valium) as needed for moderate to severe anxiety. When the son visited today he found his mother confused. Her speech was thick and slurred and she had an unsteady gait. She was taken to the emergency department, and hospital admission followed. The nurse assessed the client as having several cognitive problems, including memory and attention deficits and fluctuating levels of orientation. The nurse confirms that the client's symptoms developed over a 2-day period. The client's symptoms are most characteristic of a. delirium. b. dementia. c. amnestic syndrome. d. Alzheimer's disease.
A client tells the nurse that he usually expectorates about 2 ounces of thin, clear, colorless sputum each day, mostly in the morning after getting out of bed. What is the nurse's initial action after gaining this information?
a. Ask the client to provide a morning spu-tum sample for laboratory analysis. b. Obtain a specimen of the sputum in a ste-rile container for culture. c. Monitor for an increase in sputum produc-tion or a change in color. d. Notify the health care provider and pre-pare the client for possible bronchoscopy.
An emergency department nurse is caring for a 17-year-old patient who has severe pain in the umbilical area. Documentation shows that the patient exhibits "Rovsing's sign." What might this patient's medical diagnosis be?
A) Gastroenteritis B) Liver disease C) Appendicitis D) Enlarged spleen
During a preoperative assessment, Mrs. D tells the nurse that she takes several "all natural" nutritional supplements. The best response the nurse can make is:
1. Even all natural dietary supplements may interact with anesthesia, medications, or alter blood clotting. 2. Since the dietary supplements are "all natural" there should not be a problem. 3. Mrs. D should not take the supplements the day of surgery, but can resume when she feels better following surgery. 4. She should be sure to discuss this with the anesthesiologist the day of surgery.