A patient arrives at the ambulatory surgery center for a scheduled laparoscopy procedure in outpatient surgery. Which information is of most concern to the nurse?

a. The patient is planning to drive home after surgery.
b. The patient had a sip of water 4 hours before arriving.
c. The patient's insurance does not cover outpatient surgery.
d. The patient has not had surgery using general anesthesia before.


ANS: A
After outpatient surgery, the patient should not drive home and will need assistance with transportation and home care. The patient's experience with surgery is assessed, but it does not have as much application to the patient's physiologic safety. The patient's insurance coverage is important to establish, but this is not usually the nurse's role or a priority in nursing care. Having clear liquids a few hours before surgery does not usually increase risk for aspiration.

Nursing

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During a multifamily support group, a patient who has schizophrenia says, "Sometimes I feel very sad that I will never have a good job like my brother, who is an executive. Then I dwell on it, and maybe I should not."

The nurse leader can best facilitate discussion of this issue by responding: a. "Grieving for what is lost is a normal part of having a mental disorder.". b. "How have others in the group handled painful feelings like these?" c. "It is often better to focus on our successes rather than our failures.". d. "I wonder if you might also experience feelings of anger and helplessness.".

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The process by which the body uses energy to adjust to changes in environmental conditions is called

a. homeostasis. b. thermoregulation. c. adaptive thermogenesis. d. the thermic effect of food.

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What condition is a disturbance of electrical activity in the brain that can affect consciousness, motor activity, and sensation?

1. Convulsion 2. Dystonia 3. Epilepsy 4. Seizure

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The nurse reviews the process to obtain a midstream urine specimen for culture and sensitivity with a female patient. Which patient statements indicate understanding of this process? (Select all that apply.)

a. "A 24-hour urine specimen is needed." b. "A second-voided specimen is preferred." c. "I should wash from the back to the front." d. "The labia should be kept separated while voiding." e. "When urine starts to flow, collect it in the clean container provided." f. "The genitalia should be thoroughly cleaned with the towelettes provided."

Nursing