The perioperative nurse maintains the safety of the patient during surgery with which of the following goals? Select all that apply
a. Preventing infection
b. Improving the accuracy of patient identification
c. Preventing mistakes in surgery
d. Obtaining signed consent for surgery
e. Keeping the family informed of patient's status
ANS: A, B, C
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A patient in the icteric phase of hepatitis asks the nurse, "Why are my stools no longer brown?" How should the nurse respond?
1. "Your liver isn't making any of the substance that makes stools brown.". 2. "The bilirubin that causes the coloration is going into your blood and turning your skin yellow.". 3. "It is being released into your bloodstream and turning your blood darker red.". 4. "The answer is not known. More research is needed regarding this question.".
The new nursing assistant arrived 1 hour late for duty on the second day of employment, giving the excuse of car trouble. The LPN/LVN charge nurse should
a. note the incident of tardiness in the charge nurse's personal file. b. send a letter of reprimand to the nursing assistant. c. give an oral reprimand to the nursing assistant. d. arrange to terminate the nursing assistant before a pattern develops.
The nurse caring for older adults in a long-term care facility compares the residents' current weight with their usual weight. Which of the following would be a significant finding that should be reported to the physician?
A) Weight loss within the past month that is greater than 5% of the total body weight B) Weight loss within the past month that is greater than 10% of the total body weight C) A loss of 5% or more of body weight within the past 3 months D) A loss of 15% or more of body weight within the past 6 months
Why should a patient currently experiencing thromboembolisms be given warfarin?
A. To bind calcium ions so that the coagulation scheme is interrupted B. To dissolve the preformed clot C. To prevent secondary thromboembolic complications D. To increase the production of several Vitamin K dependent clotting factors