Nokea
Priority Decision: To promote effective coughing, deep breathing, and ambulation in the postoperative patient, what is most important for the nurse to do?
- A. Teach the patient controlled breathing
- B. Explain the rationale for these activities
- C. Provide adequate and regular pain medication
- D. Use an incentive spirometer to motivate the patient
Correct Answer: C
Rationale: Pain management enables patients to perform respiratory exercises effectively, preventing complications.
You may also like to solve these questions
Josie is the mother of a healthy 19-year-old having surgery tomorrow. After the surgeon discusses the surgery, risks, and benefits with the patient and her mother, the mother wants to sign the consent form. The most appropriate response to this would be
- A. Of course she can sign the consent form; after all, the patient is her daughter.
- B. While you appreciate the concern for her daughter, the patient is a consenting adult and legally has to sign her own consent form.
- C. No consent form must be signed.
- D. Why do not both the patient and her mother sign the form?
Correct Answer: B
Rationale: Adult patients have the legal right to consent to their own medical procedures.
Cultural safety describes care that prevents cultural imposition. The nurse must be aware of and include the knowledge of which factors in providing safe cultural care for the patient?
- A. Values
- B. Culture
- C. Ethnicity
- D. Stereotyping
Correct Answer: A
Rationale: Factors like values, culture, ethnicity, acculturation, and avoiding stereotyping or ethnocentrism help ensure culturally safe care.
A client with cirrhosis is experiencing ascites. Which dietary instruction should the nurse provide?
- A. Increase protein intake.
- B. Limit fluid intake to 1500 mL/day.
- C. Consume a low-sodium diet.
- D. Take a daily multivitamin.
Correct Answer: C
Rationale: The correct answer is C: Consume a low-sodium diet. Ascites in cirrhosis is often due to fluid retention caused by impaired liver function. A low-sodium diet helps to reduce fluid buildup in the body, alleviating ascites. Increasing protein intake (A) may worsen ascites by increasing fluid retention. Limiting fluid intake (B) can lead to dehydration, exacerbating the condition. Taking a daily multivitamin (D) may be beneficial for overall health but does not directly address ascites.
A client is going to be admitted for a scheduled surgical procedure. Which action does the nurse explain is the most important thing the client can do to protect against errors?
- A. Bring a list of all medications and their purposes.
- B. Keep the doctor's phone number close by.
- C. Ensure all providers wash their hands before entering the room.
- D. Document the name of each caregiver who enters the room.
Correct Answer: A
Rationale: The correct answer is A: Bring a list of all medications and their purposes. This is important as it helps prevent medication errors during the surgical procedure. By having a list of medications and their purposes, the healthcare team can ensure they are administering the correct medications and dosages. This also helps in preventing drug interactions or allergies.
Option B (Keep the doctor's phone number close by) may be helpful in case of emergencies, but it does not directly address preventing errors during the surgical procedure. Option C (Ensure all providers wash their hands before entering the room) is important for infection control but is not specifically related to preventing errors. Option D (Document the name of each caregiver who enters the room) is not as critical as having a list of medications, as it does not directly impact the safety and well-being of the client during the surgical procedure.
You anticipate that the physician will order which drug for status epilepticus?
- A. PO phenytoin and carbamazepine
- B. IV lorazepam (Ativan)
- C. IV carbamazepine
- D. IV magnesium sulfate
Correct Answer: B
Rationale: Lorazepam is commonly used for rapid control of seizures in status epilepticus.