The operative period that begins when the decision to have surgery is made and ends when the client is transferred to the operating table is which of the following?
A)
Preoperative phase
B)
Intraoperative phase
C)
Postoperative phase
D)
Perioperative phase
A
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The nurse is completing a full exam of the renal system. Which assessment finding best documents the need to offer the use of the bathroom?
A) Tenderness over the kidneys B) Bruits noted over the abdominal area C) A dull sound when percussing over the bladder D) The ingestion of 8 oz of water
You are the nurse caring for a patient who is admitted to the emergency room with the diagnosis of acute appendicitis. You note during the assessment that the patient's ribs and xiphoid process are prominent
The patient states she exercises daily. The patient's mother indicates she is being treated for anorexia nervosa. What should you do? A) Inform the postoperative nurse of the patient's risk for wound dehiscence. B) Evaluate the patient's ability to manage her pain level. C) Inform the surgical team and determine her electrolyte levels. D) Instruct the patient on the need for proper nutrition to promote healing.
The nurse is caring for a client diagnosed with breast cancer, who underwent a left-sided mastectomy two days prior. The nurse has delegated vital signs on this client to the patient care assistant (PCA)
What specific instructions should the nurse provide to the (PCA) in delegating this task? 1. Take the blood pressure on the right arm. 2. No special instructions are needed. 3. Take the blood pressure on the left arm. 4. Take the blood pressure on both arms for a baseline.
The nurse needs to administer enteric-coated aspirin (Ecotrin) to the patient. The available aspirin is in a stock container on the unit because the pharmacy does not carry enteric-coated aspirin
Which is the best nursing approach for this situation? a. Pour tablets from stock without touching them. b. Withhold the medication and notify the healthcare provider. c. Crush the tablets and mix the powder in pudding. d. Pour aspirin tablets from a stock supply.