A client is scheduled for a cholecystectomy. The nurse realizes that the purpose for this surgery is
1. diagnostic.
2. palliative.
3. ablative.
4. constructive.
Correct Answer: 3
Rationale 1: A diagnostic surgery is done to confirm or establish a diagnosis.
Rationale 2: Palliative surgery is done to relieve or reduce pain or symptoms of a disease. The surgery does not cure an illness.
Rationale 3: When the purpose of surgery is ablative, the diseased body part is removed.
Rationale 4: Constructive surgery restores function or appearance that has been lost or reduced.
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Following a difficult family session, an adolescent client in the inpatient psychiatric–mental health unit has become combative. Prior to communicating with this client, the nurse must consider:
1. The child's emotional state. 2. The number of points to take away. 3. Which consequences to use for punishment. 4. The developmental age of the client.
Because of reduced sensitivity of the baroreceptors in the older adult who is also on a diuretic, the nurse instructs the patient to:
a. walk for 20 minutes a day. b. reduce sodium in the diet. c. sit on the side of the bed before standing. d. use a walker for all ambulation.
The nurse is collecting data from a client regarding past alcohol use history. What question will provide the greatest amount of information?
1. Are you a heavy drinker? 2. How often do you use alcohol? 3. Drinking doesn't cause any problems for you, does it? 4. Is alcohol use a concern for you?
Which is the best response for the nurse to make to parents who ask why their infant has a nasogastric tube to intermittent suction after abdominal surgery?
a. "The nasogastric tube decompresses the abdomen and decreases vomiting.". b. "We can keep a more accurate measure of intake and output with the nasogastric tube.". c. "The tube is used to decrease postoperative diarrhea.". d. "Believe it or not, the nasogastric tube makes the baby more comfortable after surgery.".