The nurse is providing preoperative care for a client undergoing ambulatory surgery for a tumor excision. Which of the following is a nursing responsibility?
A) Perform preoperative preparation.
B) Remove all jewelry including wedding bands.
C) Remove eyeglasses, dental prostheses, and hearing aids on initial check-in.
D) Make sure the client is wearing one or two ID bands and an allergy band.
D
Feedback:
The nurse should make sure the client is wearing one or two name bands, per agency protocol. An allergy band must also be worn, whether or not the client has allergies. Most clients are admitted on the morning of surgery, even if they are to be admitted to the hospital after surgery. Nearly all of these clients will be required to do their preoperative preparation at home. The nurse should remove all jewelry and/or tape a wedding ring in place. The client may be allowed to wear glasses and a hearing aid until all the permits are signed and all explanations are given. Then, these are placed with the client's other property.
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You are taking sexual history on an adolescent who has come into the free clinic. What question best demonstrates an appropriate nursing approach to effective assessment of the patient's need for further information?
A) "Are you involved in an intimate relationship at this time?" B) "How many sexual partners have you had?" C) "What questions or concerns do you have about your sexual health?" D) "Have you ever been diagnosed with a sexually transmitted disease?"
A patient who weighs 220 lb is to receive labetalol 0.25 mg/kg intravenously. The solution of labetalol on hand is 100 mg/20 mL. How many milliliters of labetalol will you prepare for a correct dose?
What is the answer?
To reassure and educate patients concerning the function of their kidneys in eliminating waste products, maternity nurses should be aware that
1. increased urinary output makes pregnant women less susceptible to urinary infec-tion. 2. increased sensitivity and then compression of the bladder by the enlarging uterus results in the urge to urinate even if the bladder is almost empty. 3. renal (kidney) function is more efficient when the woman assumes a supine posi-tion. 4. using diuretics during pregnancy can help keep the kidney function regular.
The nurse needs to administer 2 tsp of a medication to the client. How much of the medication should the nurse administer?
1. 5 ml 2. 10 ml 3. 15 ml 4. 20 ml