A 44-year-old patient with breast cancer who is scheduled to undergo a right-side mastectomy. Ideally when should preoperative teaching begin?
a. As soon as she is diagnosed with breast cancer
b. One week before surgery
c. The day before surgery
d. The day of surgery
B
Preoperative teaching is most useful when started the week before admission and reinforced immediately before surgery. Teaching performed when the patient is less anxious will result in more effective learning. Anxiety and fear are barriers to learning.
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A patient presents with massive colonic dilation in the absence of mechanical obstruction, with electrolyte imbalance. Which of the following would be the most appropriate initial nursing intervention for this patient?
A) Administer a laxative. B) Encourage the patient to walk around his room. C) Monitor the patient's heart. D) Prepare the patient for colonoscopy.
The nursing manager of a general medical-surgical unit in a large hospital has gathered data reflecting the average length of time that it takes to provide nursing care to broad categories of client groups with typical characteristics
The nursing manager will most likely use the patient classification data he collected to ____. a. Avoid management layoffs b. Change professional nursing roles c. Obtain staffing reimbursement d. Staff his nursing unit appropriately
The relapse of a patient with schizophrenia is related to medication noncompliance. The patient is hospitalized for 5 days, medication is restarted, and the patient's thoughts are now more organized. The patient's family members are upset and say,
"It's too soon about the patient being scheduled for discharge. Hospitalization is needed for at least a month." The nurse should: a. call the psychiatrist to come explain the discharge rationale. b. explain that health insurance will not pay for a longer stay for the patient. c. call security to handle the disturbance and escort the family off the unit. d. explain that the patient will continue to improve if medication is taken regularly.
A client has an elevated temperature. Which statement is the most clinically appropriate for the nurse to use when documenting this finding in the medical record?
1. The client is fever. 2. The client is febrile. 3. The client is hyperpyrexia. 4. The client is hyperthermia.