The nurse is caring for a client in the preoperative phase of surgery. Nursing interventions include: Standard Text: Select all that apply
1. Checking to be sure ordered test results are place in the medical record.
2. Performing preoperative teaching.
3. Assessing vital signs and pain.
4. Encouraging deep breathing.
5. Encouraging the client to turn from side to side.
1,2
Rationale: Preparing the client's chart with the results from preoperative diagnostic or screening tests and examinations is a preoperative nursing responsibility.
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A 22-year-old woman presents to the emergency department with abdominal pain and vaginal bleeding. Her blood pressure is 90/58 mm Hg, her pulse is 120 beats/minute, and she complains of dizziness
Which action by the nurse takes priority? A. Assess the woman for sexually transmitted infections. B. Collect a urine sample for pregnancy testing. C. Obtain informed consent for a salpingectomy. D. Start two large-bore IVs for fluid replacement.
A client who is in the clinic to be treated for a bacterial infection tells the nurse that life is difficult and might not be worth the effort. The nurse concludes:
1. that the bacterial infection has depressed the client. 2. that the client might be a suicide risk. 3. that the client is in a bad mood. 4. that the client had a fight with family members.
The results of a pregnant patient's quadruple screen were positive, and an amniocentesis was performed. The amniocentesis report states no genetic anomalies present. What should the nurse do to assist this patient understand the test results?
A) Reassure that the report of the amniocentesis is valid. B) Suggest that additional testing be performed on the fetus. C) Explain that most of quadruple screens are falsely positive. D) Remind that 30% of amniocentesis screens are falsely positive.
Burns are a very painful injury with a very high risk for infection.
Answer the following statement true (T) or false (F)