Nokea
A client is considering laser abdominal surgery and asks the nurse if there is any advantage in having this type of surgery. The nurse's response should be based upon the knowledge that laser surgery:
- A. has a smaller postoperative infection rate than routine surgery.
- B. will eliminate the need for preoperative sedation.
- C. will result in less operating time.
- D. generally eliminates problems and complications.
Correct Answer: A
Rationale: A lower postoperative infection rate has been documented as a result of laser therapy versus routine surgery. Clients who choose laser surgery will still need preoperative sedation to facilitate anxiety reduction. Operating time may actually increase in some laser surgeries. The client who chooses laser surgery must still be observed for postoperative complications.
You may also like to solve these questions
Allison Lynn, 20, is a student in a health sciences class and asks you to further explain the reason for lack of insulin in Type I Diabetes. You state that the most accepted theory is that:
- A. the insulin produced is not effective at the tissue level.
- B. not enough insulin is made to manage the metabolic needs.
- C. inflammation of the pancreas causes irregular release of insulin.
- D. the body's immune system destroyed the cells that make insulin.
Correct Answer: D
Rationale: Type I diabetes is the definition of that disease process that occurs when no insulin is produced, so there is no insulin to get to the cell level. Some Type II diabetes occurs because of insulin resistance. No insulin is being produced. This is one pathophysiological cause of Type II diabetes. Pancreatitis does cause irregular release of insulin, but not all people with pancreatitis develop Type I diabetes An autoimmune process is the most accepted theory of the root cause of Type I diabetes. The body produces an antibody which attacks and destroys the beta cells, leading to a lack of insulin.
Systolic hypertension and stroke are due to:
- A. Increased vascular stiffness related to structural changes
- B. Loss of peripheral vascular tone
- C. Buildup of soft plaque within the veins
- D. Changes within the basement membrane
Correct Answer: A
Rationale: As people age, arteries lose elasticity and become stiffer, leading to increased systolic blood pressure and higher risk of stroke.
While dining at a restaurant, a person begins to choke. Which of the following actions should the nurse take?
- A. Instruct the person to call 911.
- B. Ask the person if he/she can speak.
- C. Use the jaw-thrust maneuver.
- D. Perform abdominal thrusts.
Correct Answer: B
Rationale: The correct answer is B because asking the person if he/she can speak helps to determine if the airway is partially or completely obstructed. If the person can speak, it indicates that the airway is not completely blocked, and coughing may help dislodge the object. If the person cannot speak, it suggests a complete blockage, and immediate intervention is needed. In contrast, A is incorrect as the nurse should take action rather than instructing the person to call 911. C is incorrect because the jaw-thrust maneuver is used for assisting with breathing, not for choking. D is incorrect because abdominal thrusts are only performed when the person is unable to speak, indicating a complete airway obstruction.
Priority Decision: A patient in the last stages of life is experiencing shortness of breath and air hunger. Based on practice guidelines, what is the most appropriate action by the nurse?
- A. Administer oxygen.
- B. Administer bronchodilators.
- C. Administer antianxiety agents.
- D. Use any methods that make the patient more comfortable.
Correct Answer: D
Rationale: Comfort measures tailored to the individual patient’s needs are prioritized in palliative care, ensuring the patient feels supported and comfortable.
What activity would be most difficult for Mr. Singer to modify?
- A. Cover mouth when coughing and sneezing
- B. Take the prescribed medication with meals
- C. Wear the Medic Alert bracelet
- D. Keep the stoma covered
Correct Answer: D
Rationale: Stoma care is essential to prevent infection and ensure proper breathing.