During a nurse's preoperative assessment, the nurse notices that a patient is extremely anxious. The patient's blood pressure is 142/92 mm Hg, the heart rate is 104 beats/min, and respirations are 32 breaths/min
What nursing action should be implemented? a. Give the preoperative medicine early to help calm the patient.
b. Call the surgical department and cancel the surgery.
c. Notify the anesthesiologist or surgeon.
d. Instruct the patient on possible postopera-tive complications.
C
When significant fear is associated with surgical complications, sometimes surgery is postponed until the anxiety level is reduced.
You might also like to view...
An outcome for the nursing diagnosis of risk for injury that would be appropriate for both a
hospitalized client with delirium who misinterprets reality and a client with dementia who wanders about his home is that the client will a. remain safe in the present environment. b. participate in self-care. c. acknowledge reality. d. communicate confusion.
A master's student does not know how to choose a research problem. She has been off work for the past two years. What sources can she use in order to identify a researchable nursing problem? Her work area used to be trauma nursing, but she does not wish to perform research in this area. By using which of the following sources can she identify a nursing research problem? (Select all that apply.)
a. Talking with nurse friends about questions that have arisen in their work areas b. Talking with other master's students about ideas for study c. Reading professional research journals d. Depending on her instructors to provide a research problem for her e. National Institutes for Nursing Research priorities
The nurse notes an older client has lost lean muscle mass. How should the nurse document this finding?
a. Dysphasia b. Sarcopenia c. Pagophagia d. Xerostomia
A patient who has been prescribed prochlorperazine (Compazine) calls the clinic and reports pink-tinged urine. What is your best action?
a. Ask if the patient consumed grapefruit or grapefruit juice during the last 24 hours. b. Remind the patient to drink more water to prevent this drug from damaging the kidneys. c. Reassure the patient that this is an expected side effect of the drug and needs no action. d. Instruct the patient to hold the next drug dose and notify the prescriber immediately.