Mrs. Tran, a Vietnamese client, is to undergo cancer surgery. The nurse notes that Mrs. Tran is very frightened. The best way for the nurse to support Mrs. Tran and allay her fears is to:
A.
Give Mrs. Tran a hug and pray with her.
B.
Ask Mrs. Tran how much she understands about the surgical procedure and what she believes will happen.
C.
Tell Mrs. Tran that the outcome of the surgery should be favorable.
D.
Ask Mrs. Tran's family to leave so that the nurse may talk with her.
ANS: B
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The nurse works in a facility whose policy requires an antiseptic hand rub instead of a surgical scrub when performing surgical hand asepsis. Which are known advantages of the hand rub over the scrub?
Select all that apply. 1. Less harmful to the skin 2. Does not require the use of a brush 3. Contains ingredients that help to protect the skin 4. Takes longer to perform 5. Contains alcohol, which could dry the skin
A patient with a T-2 injury is in spinal shock. The nurse will expect to observe what assessment finding?
A) Absence of reflexes along with flaccid extremities B) Positive Babinski's reflex along with spastic extremities C) Hyperreflexia along with spastic extremities D) Spasticity of all four extremities
Which diagnostic test is used to help confirmation of hyperbilirubinemia in an infant?
a. Direct Coombs test based on maternal blood sample b. Indirect Coombs test based on infant cord blood sample c. Infant bilirubin level d. Maternal blood type
A client is being treated with acetaminophen (Tylenol). Which assessment finding is most likely to occur after a dose of the medication?
a. A febrile seizure b. Nausea and vomiting c. Episodes of sweating d. Syncope