An 85-year-old woman with a hip fracture is scheduled for surgery. She has Alzheimer's disease and is only oriented to her name. Which of the following should the nurse look for on the informed consent?
a. The patient's mark witnessed by the surgeon.
b. The patient's explanation of the operative procedure.
c. A signature of a person who has legal guardianship of the patient.
d. The surgeon's note stating that the surgery was explained to the patient.
Ans: c. A signature of a person who has legal guardianship of the patient.
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A nurse is caring for a client receiving chemotherapy and notes that the platelet count is 10,000/mm3 . Based on this information, the priority nursing intervention is to monitor:
a. level of conscious-ness c. bowel sounds b. temperature d. skin turgor
Infants may need supplements of
a. iron, fluoride, and vitamin D. b. calcium, magnesium, and vitamin D. c. iron, zinc, and vitamin E. d. calcium, fluoride, and vitamin E.
In teaching the patient how to take his own blood pressure, which of the following is true?
a. Blood pressure cuffs that are too small will give a falsely low reading. b. Blood pressure cuffs that are too large will give a falsely high reading. c. Electronic blood pressure cuffs are just as accurate as other methods. d. The cuff should be placed directly over the skin and not over clothing.
A 56-year-old executive meets with the nurse for education about recently diagnosed atrial fibrillation. He verbalizes concerns about the time he will spend away from his work, and that he is not sure it is necessary to have blood tests every week. He feels it is a waste of time when he does not have any symptoms. Which is the best motivational statement by the nurse for this client?
a. "The medicine and blood work for atrial fibrillation can help prevent blood clots that have the potential to cause debilitating strokes. What have you heard about warfarin therapy?" b. "You have to take your warfarin and go to the clinic every week for a blood draw. It's not the most convenient way to live, but you have to do it." c. "Atrial fibrillation is when your upper heart beats ineffectively and blood clots can go to your brain. Would you like some printed information about this?" d. "Your doctor wants you to take your warfarin every day, go to the clinic every week to have blood drawn, and then wait for any dosage change. Do you understand?"