A patient has expressed anxiety to the nurse surrounding the thought of being awake but unable to move or express pain during surgery
The patient states that she recently saw a movie that addressed this phenomenon and that she is consequently fearful about her impending surgery. How should the nurse best reassure this patient?
A) "Actually, the same drugs that make you unconscious are the ones that keep you from moving."
B) "The whole surgical team will be monitoring you very closely throughout the procedure to make sure that things like this don't happen."
C) "When you're unable to move because of the drugs that you're given, you're also unable to feel pain."
D) "We will teach you signals to use in the unlikely event that you wake up during your surgery."
B
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The nurse is performing a physical examination on a patient with neurologic disease. What finding from the examination is the most indicative of diminished cerebral hemisphere functioning?
A) Deteriorating level of consciousness B) Positive Romberg test C) Unequal pupillary response D) Glasgow Coma Scale score of 15
The basis for designing and selecting nursing interventions to meet patient needs is the:
a. nursing diagnosis. b. care plan. c. doctor's orders. d. nurse's notes.
The nurse is assessing a client admitted to the hospital for congestive heart failure and notes 1+ pitting edema of the left arm, as well as bilateral 1+ pitting edema in the client's ankles
The client's history indicates that the client has had a myocardial infarction and a left mastectomy. The nurse would suspect which of the following causes for the edema in the left arm? 1. Impaired lymphatic drainage 2. Noncompliance with medication regimen 3. Right-sided heart failure 4. Excessive intake of sodium
A client with AIDS has been admitted with fever, night sweats, and weight loss of 6 pounds in 2 weeks. The client's purified protein derivative (PPD) test, placed 3 days ago in the clinic, is neg-ative
Which action by the nurse is most appropriate? a. Place the client in Airborne Precautions. b. Facilitate the client's chest x-ray. c. Initiate a 3-day calorie count. d. Start an IV of normal saline.