The client scheduled for a partial thyroidectomy for hyperthyroidism asks the nurse why she is being given an iodine preparation before surgery. What is the nurse's best response?
A. "To make the surgery as sterile as possible."
B. "To stimulate storage of thyroid hormones for use after surgery."
C. "To replace the thyroid hormones that will be eliminated as a result of the sur-gery."
D. "To decrease the blood vessels in the thyroid and prevent excessive bleeding during surgery."
D
Iodine preparations decrease the size and vascularity of the thyroid gland, reducing the risk for hemorrhage and the potential for thyroid storm during surgery.
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The nurse assigns the diagnosis of Nutrition Imbalance: less than body requirements for an older adult. Which age-associated intestinal problem does the nurse apply to plan goals and interven-tions to improve this adult's nutritional status?
a. Less intrinsic factor secretion c. Decreased gastric smooth muscle b. Short, broad small intestinal villi d. Decreased large intestinal motility
The physician providing care for a terminally ill patient orders an MRI of the patient's abdomen. The nurse does not think this treatment is necessary. How should the nurse respond to the physician who requested this test?
1. "Will the benefits of this test outweigh the discomfort of transferring the patient to the MRI machine?" 2. "How will the results of this test change what we are doing for the patient?" 3. "I don't see the purpose of this test." 4. "We won't be able to schedule the MRI until the order is countersigned by the patient's surgeon." 5. "Has the family approved of us doing this testing?"
Monitoring of a patient on gabapentin to treat seizures includes:
1. Routine therapeutic drug levels every 3 to 4 months 2. Assessing for dermatologic reactions, including Steven's Johnson 3. Routine serum electrolytes, especially in hot weather 4. Recording seizure frequency, duration, and severity
Which of the following are potential outcomes when using a nursing textbook lacking multicultural information? (Select all that apply.)
a. Students from the nondominant culture may feel insignificant. b. Readers may oversimplify cultural behaviors and traits of others. c. Readers may view patients from other cultures as unsophisticated. d. Open discussion of cultural differences is promoted.