A client who is extremely overweight has been advised to lose weight before surgery. To encourage the client, the nurse knows that the most appropriate statement is
a. "It will decrease the operating room time by half if you lose weight."
b. "Surgery requires more anesthesia if you are overweight."
c. "With the weight loss, you decrease the chance of complications after surgery."
d. "You'll feel better after surgery if you lose the weight before."
C
An obese client is more susceptible to postoperative pulmonary complications, immobility, wound infection, wound dehiscence, and wound evisceration.
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A patient has edema of the lower extremities and abdomen. What is the reason for administering a stronger diuretic than a thiazide diuretic to this patient?
A) A thiazide diuretic will reabsorb potassium in the distal tubule. B) A thiazide diuretic will be ineffective for immediate diuresis. C) A thiazide diuretic will provide peak effects in 2 hours. D) A thiazide diuretic will be excreted in more than 72 hours.
A client is responsible for 30% of his doctor bills due to insurance. The client sees a specialist and the bill is $240.00. How much will the client be responsible for?
ANS:
The new graduate nurse is asked to start an IV on a patient but isn't sure whether post-graduate certification is required to perform this skill. What is the nurse's best response?
1. Check the state's Nurse Practice Act. 2. Refuse to perform the skills. 3. Call the school where the nurse graduated. 4. Take the opportunity to practice this skill.
A patient who gave birth 5 hours ago has completely saturated a perineal pad within 15 minutes. Which action by the nurse should be implemented first?
A) Assess vital signs. B) Assess the fundus. C) Notify the health care provider. D) Begin an IV infusion of Ringer's lactate solution.