A nurse who has provided care in perioperative settings for many years has seen first-hand the trend toward increasing numbers of surgical procedures being performed in ambulatory surgical centers and on an outpatient basis
What factors have contributed most significantly to this trend?
A) The emergence of managed care and the large number of Americans who lack health insurance
B) The nursing shortage and decreasing numbers of health care providers who are choosing surgical specialties
C) Advances in anesthesia and in the technology surrounding surgical techniques
D) Pressure from health care consumers to avoid hospital stays and the decreasing incidence of acute illnesses
C
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A client is in the emergency department reporting a brief episode during which he was dizzy, unable to speak, and felt like his legs were very heavy. Currently the client's neurologic examination is normal. About what drug should the nurse plan to teach t
a. Alteplase (Activase) b. Clopidogrel (Plavix) c. Heparin sodium d. Mannitol (Osmitrol)
A client who is being discharged offers the nurse a ceramic bowl made during hospitalization as a symbol of the open "vessel" the client has become for accepting new ideas. What is the best response by the nurse?
1. "This is a beautiful gesture, I will place it in the day room for everyone to enjoy." 2. "I wish I could accept this, but you know I'm not allowed to." 3. "Let me pay you for this. I don't feel I should just accept it after all the hard work you put into it." 4. "You worked very hard on becoming receptive to new ideas this past month; I would be honored to accept this symbol of your progress."
The nurse is preparing to assess a client's carotid pulse. Which of these techniques would be MOST appropriate to use?
a. Apply light pressure to only one artery at a time. b. Apply heavy pressure to one artery and then the other, and compare their forces. c. Press forcefully on both arteries at the same time. d. Press lightly on both arteries at the same time to compare the rates.
A 33-year-old male marathon runner presents with knee pain. Which of the following tests is positive if the meniscus of the knee is torn?
A. McMurray's test B. Straight leg raising sign C. Anterior drawer sign D. Lachman test