During the preoperative thyroidectomy instruction to a patient with Graves' disease, the patient bursts into tears and says, "I am so nervous and can't listen to you. Just get out!" The nurse's best action is to:
a. give the patient written preoperative in-structions.
b. inform the charge nurse or surgeon of this stressful behavior.
c. remind the patient the preoperative infor-mation is important.
d. inform the oncoming shift of this beha-vior.
B
Informing the charge nurse or surgeon will alert them to possible ineffective control of the thy-roid, which can cause thyroid crisis postoperatively.
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The nursing intervention necessary after the administration of naloxone is to
a. monitor the airway and take vital signs every 15 minutes. b. insert an indwelling urinary catheter. c. insert a nasogastric tube. d. treat hyperpyrexia with cooling measures.
Which factor can contribute to a client developing sensory overload?
a. analgesics c. use of hearing aids b. family visitations d. invasive procedures
The nurse is analyzing several fetal heart rate patterns. The pattern that would be of most concern to the nurse would be:
1. Moderate long-term variability. 2. Early decelerations. 3. Late decelerations. 4. Accelerations.
An electronic documentation system will be implemented in an agency. As part of the process, the staff is receiving education about the system and the overall benefits
Which of the following would the audience expect to hear as the most important benefit? A) Availability of an audit trail for information B) Decreased decentralization of the healthcare delivery system C) Enhanced ability to extract information D) Improvement in patient care outcomes