A nurse would include which of the following questions in a presurgical assessment? Select all that apply
1. "Have you had any prior surgeries?"
2. "Is there a possibility you may be pregnant?"
3. "Are you taking any medications at this time?"
4. "Do you smoke or use tobacco in any form?"
5. "What surgery is planned? Why are you having surgery?"
ANS: 1, 2, 3, 4, 5
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The nurse has taught a client with cancer ways to prevent infection. What statement by the client indicates that more teaching is needed?
a. "I should take my temperature daily and when I don't feel well." b. "I will wash my toothbrush in the dishwasher once a week." c. "I won't let anyone share any of my personal items or dishes." d. "It's alright for me to keep my pets and change the litter box."
An emergency department patient is diagnosed with a hip dislocation. The patient's family is relieved that the patient has not suffered a hip fracture, but the nurse explains that this is still considered to be a medical emergency
What is the rationale for the nurse's statement? A) The longer the joint is displaced, the more difficult it is to get it back in place. B) The patient's pain will increase until the joint is realigned. C) Dislocation can become permanent if the process of bone remodeling begins. D) Avascular necrosis may develop at the site of the dislocation if it is not promptly resolved.
Data verification techniques are important to ensure data accuracy. For which of the following clients is data verification most difficult?
1. A client who is visually impaired can verbalize which data are correct and incorrect. 2. A client who is hard of hearing can read and confirm printouts of entered data. 3. A client who does not speak English can point to the screen to verify correct data. 4. A client who is unable to read can affirm verbally that the information is correct.
The mother of a child newly diagnosed with mental
retardation tells the nurse that her partner disagrees with the diagnosis and believes that the child is perfectly normal. The mother shares with the nurse that she finds this reaction frustrating and confusing. Which should the nurse respond to support the mother? A) Reassure the mother that her partner's reaction is a normal stage in the grieving process B) Offer to speak with the partner to explain how the diagnosis was reached C) Suggest that the couple get a second opinion about the child's condition D) Recommend that the couple consider placing the child in foster care until they adjust to the diagnosis