A patient is about to have a balloon angioplasty. The nurse would evaluate that the patient does not understand the procedure when the patient makes which statements? Note: Credit will be given only if all correct choices and no incorrect
choices are selected. Select all that apply. 1. "They may put in a stent to help keep my artery open.".
2. "I expect to be up walking in the hall an hour after the procedure.".
3. "If they put a stent in, I will have to come back to have it removed in about 3 months.".
4. "I may feel a hot flush during this procedure.".
5. "My family should be prepared for this procedure to take several hours.".
2,3,5
Rationale 1: This statement indicates an understanding of this portion of the procedure.
Rationale 2: The patient will likely be on bed rest for at least 4 to 6 hours after the procedure is completed. This statement indicates the patient does not understand the postprocedure treatment.
Rationale 3: The stent is put in permanently and is not removed. This statement indicates the patient does not understand the postprocedure treatment plan.
Rationale 4: When contrast dye is injected, patients often report a hot, flushed feeling. The patient understands this potential effect.
Rationale 5: The procedure itself is generally done quickly and the patient is taken to a specialized nursing care unit for postprocedure care. The family would be notified that the procedure is complete. This statement indicates the patient does not understand the expected length of the procedure.
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During a well-child visit, the mother tells the nurse that her 11-year-old child is having problems controlling his temper. The mother states that when he gets mad, he often destroys things including his own possessions
The child recently smashed his bicycle, and the mother wonders how she should handle him. The nurse would suggest: 1. Spanking him when he displays this behavior because he knows better. 2. Not replacing the bike and explaining to him that when he breaks something, it will not be replaced. 3. When the child gets angry, the mother will need to yell at the child in order for the child to hear her response. 4. Discussing the child's behavior with the pediatrician so that the child can be placed on mood-altering medications.
The most common bone fracture in newborn infants involves which of the following?
a. skull b. femur c. clavicle d. tibia
The nurse instructs the client with a minor head injury to return to the emergency room if which of the following occur?
A) increased appetite and fluid consumption B) slight headache that continues for 24 hours C) slight nausea for several hours after injury D) becomes drowsy or confused
What is the drug of choice the nurse would administer in the acute treatment of anaphylaxis?
a. Diphenhydramine (Benadryl) b. Cimetidine (Tagamet) c. Epinephrine (Adrenaline) d. Albuterol (Ventolin)