The nurse works on a preoperative unit. For which conditions should the nurse recognize that urgent surgery is needed?
a. Hernia repair
b. Fracture repair
c. Aortic aneurysm
d. Ruptured appendix
ANS: B
Urgent surgery is the need for an operation within 24 to 30 hours. C. D. An aortic aneurysm and ruptured appendix require emergency surgery. A. A hernia repair is elective surgery.
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An obese patient is admitted to the unit. The blood glucose level is 379, urinalysis reveals glycosuria, blood pressure is 178/99, and the patient complains of muscle aches and weakness
The patient also exhibits a "moon face" and "buffalo hump." The nurse recognizes these signs and symptoms as ______________________ and anticipates _____________________. a. Graves' disease; treatment directed at the cause b. Addison's disease; administration of fludrocortisone c. Cushing's syndrome; treatment directed at the cause d. diabetes; insulin replacement therapy
A nurse set limits for a patient with a borderline personality disorder. The patient tells the nurse, "You used to care about me. I thought you were wonderful. Now I can see I was mistaken. You're terrible." This outburst can be assessed as:
a. denial. b. splitting. c. reaction formation. d. separation-individuation strategies.
When closing the midstream clean-catch specimen container,
A) cap immediately without touching the inside of the cap or container. B) check, with your gloved finger, that the rim is dry. C) apply glycerine to the rim of the cap. D) clean the rim before placing the cap on.
If a patient has had hip surgery, never elevate the head of the bed more than _________ without specific permission
A) 90 degrees B) 75 degrees C) 45 degrees D) 30 degrees