The nurse is caring for a patient in the postanesthesia care unit. The patient has developed profuse bleeding from the surgical site, and the surgeon has determined the need to return to the operative area. This procedure would be classified as
a. Elective.
b. Urgent.
c. Emergency.
d. Major.
C
An emergency procedure must be done immediately to save life or preserve function of a body part. An example would be repair of a perforated appendix, repair of a traumatic amputation, or control of internal hemorrhaging. An urgent procedure is necessary for a patient's health and often prevents additional problems form developing. An example would be excision of a cancerous tumor, removal of a gallbladder for stones, or vascular repair for obstructed artery. An elective procedure is performed on the basis of the patient's choice; it is not essential and is not always necessary for health. An example would be a bunionectomy, plastic surgery, or hernia reconstruction. A major procedure involves extensive reconstruction or alteration in body parts; it poses great risks to well-being. An example would be a coronary artery bypass or colon resection.
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The client relates a personal history full of time losses, unexplained changes in relationships, out-of-body experiences, and the awareness of other parts of her self. These are char-acteristic of
1. identity diffusion. 2. dissociative amnesia. 3. depersonalization disorder. 4. dissociative identity disorder.
The nurse educator is reviewing the assessment of cranial nerves. What should the educator identify as the specific instances when cranial nerves should be assessed? Select all that apply
A) When a neurogenic bladder develops B) When level of consciousness is decreased C) With brain stem pathology D) In the presence of peripheral nervous system disease E) When a spinal reflex is interrupted
Based on this description, what is your most likely diagnosis?
An 8-year-old girl comes with her mother for evaluation of hair loss. She denies pulling or twisting her hair, and her mother has not noted this behavior at all. She does not put her hair in braids. On physical examination, you note a clearly demarcated, round patch of hair loss without visible scaling or inflammation. There are no hair shafts visible. A) Alopecia areata B) Trichotillomania C) Tinea capitis D) Traction alopecia
The nurse is preparing a client to be turned in bed. In what position would the nurse place the client to begin this procedure?
A) Sitting up B) Lying prone C) Lying flat D) Lying flat with feet raised slightly