A patient has lost over 1,000 mL of blood during a surgical procedure that is estimated to continue for at least another 2 hours. The nurse anesthetist prepares to administer packed red blood cells during the procedure
Which patient care activity is the nurse anesthetist conducting? 1. Anesthesia maintenance
2. Preanesthetic preparation
3. Postanesthesia care
4. Perianesthetic clinical support
4
Rationale 1: In maintenance, the patient is continuously provided with anesthesia.
Rationale 2: Preanesthetic preparation includes assessing the patient's previous experience with anesthesia and determining which type of anesthesia would be the most appropriate for the patient and the upcoming surgery.
Rationale 3: Postanesthesia care is that provided after the anesthesia has been stopped.
Rationale 4: Administering blood during a surgical procedure is an example of clinical support that is provided while the surgery and anesthesia are also occurring.
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When performing an assessment of a child with recurrent abdominal pain (RAP), the nurse recognizes the child will most likely experience:
a. increased temperature. b. constipation. c. right quadrant pain. d. exercise-associated pain.
The daughter of an 80-year-old Spanish client reports that her mother seems not to understand what the doctor tells her about her disease and the treatment plan. She asks whether an interpreter is present when he talks to her mother
You explain that every attempt to have someone translate information to her mother is being done, but sometimes it is not possible. However, you acknowledge that this may not be effective care for this patient. To meet the national standards for Culturally and Linguistically Appropriate Services (CLAS) in healthcare, the nurse would A) continue to monitor the patient and offer explanations using common symbols. B) report the problem to the doctor. C) revise the plan of care to ensure an interpreter is present at all times. D) ask the daughter to be present whenever anyone speaks to the client.
Which should the nurse use when assessing the physical maturity of a newborn?
a. Length b. Apgar score c. Posture at rest d. Chest circumference
The physician has written an order to convert an enteric-coated medication from the pill form to the liquid form. What would be the most appropriate response of the nurse?
a. Transcribe the order and change the medication administration record to show the liquid form. b. Use up the rest of the tablets by crushing them and giving them dissolved in water. c. Order the liquid form from the pharmacy as ordered. d. Inquire if the physician wants the dose to be the same as the pill.