The nurse is witnessing an adult patient's surgical consent. What should the nurse confirm before witnessing the surgical consent? (Select all that apply.)
a. The patient's next of kin
b. When the patient last ate or drank
c. The last time a sedative was administered
d. Whether the patient is informed about the surgery
e. If family members have questions related to the surgery
ANS: C, D
As the patient's advocate, ensure before the consent is signed that the patient is informed about the surgery and has no further questions for the physician. If the patient has questions, the consent should not be signed, and the physician should be contacted to answer the patient's questions. The consent cannot be signed if the patient is under the influence of sedatives or narcotics, so timing of their administration must be verified. A. B. E. The nurse does not need to confirm the patient's next of kin, when the patient last ingested food or fluids, or if the family members have questions about the surgery.
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The nurse is auscultating a patient's heart sounds. What best describes a normal finding?
A) S2 is heard best at the second intercostal space to the right of the sternum. B) S2 is heard equally at all areas across the precordium and apex. C) S1 usually disappears after 25 to 35 years of age. D) S3 is caused by retrograde blood flow though an incompetent valve.
All of the following changes occur to the heart and lungs as a result of aging EXCEPT
A) vital capacity decreases. B) stroke volume increases. C) maximum heart rate decreases. D) heart muscle thickens with age.
A group of nursing students demonstrate understanding of a class discussion on pituitary hormones when they identify which of the following hormones as secreted by the posterior pituitary gland? Select all that apply
A) Growth hormone B) Adrenocorticotropic hormone C) Vasopressin D) Prolactin E) Oxytocin
A company's chief executive officer (CEO) discusses potential ways to control employee health care costs with the organization's occupational health nurse. Which of the following recommendations would the nurse be most likely to suggest?
a. Suggest employees exercise and stop smoking to retain their employment. b. Encourage the use of generic prescriptions and outpatient services. c. Consider layoffs to decrease the number of employees who receive insurance. d. Reward employees who have limited health care expenses.