A client who came through the emergency department with a fractured leg will be transported to surgery within the hour and admitted as an inpatient. When the client asks how long hospitalization will occur after surgery, what is the appropriate nursing response?
"Because you are having inpatient surgery, you will be hospitalized at least 1 day after surgery."
"With the type of injury you have sustained, you will be in the hospital about 4 days."
"The anesthesiologist will be able to give you a better idea of how long you will be hospitalized."
"Outpatient surgery clients usually get to go home the same day."
The Correct Answer is C
A. "Because you are having inpatient surgery, you will be hospitalized at least 1 day after surgery.": Giving a definitive length without full clinical details may be misleading - length of stay varies by procedure and recovery.
B. "With the type of injury you have sustained, you will be in the hospital about 4 days.": Offering a specific time estimate without complete information risks providing inaccurate expectations.
C. "The anesthesiologist will be able to give you a better idea of how long you will be hospitalized.": Acknowledge the limits of the nurse’s scope and direct the patient to the provider who can give individualized information; ideally the surgeon or primary provider can give the most accurate estimate.
D. "Outpatient surgery clients usually get to go home the same day.": Factually true for outpatient cases but not relevant to this inpatient scenario and does not answer the patient’s question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
MAP = (145 + 2×92) ÷ 3 = (145 + 184) ÷ 3 = 329 ÷ 3 = 109.67
rounded = 110 mmHg.
Correct Answer is B
Explanation
A. Rhonchi: Rhonchi are low-pitched, snoring or gurgling sounds often caused by secretions in larger airways and are typically continuous, not high-pitched popping.
B. Crackles/Rales: Crackles (rales) are intermittent, high-pitched popping or bubbling sounds heard primarily on inspiration, commonly from alveolar fluid or opening of collapsed airways.
C. Wheezing: Wheezes are continuous, musical, high-pitched sounds produced by narrowed airways (bronchoconstriction) and are usually more continuous than intermittent popping.
D. Stridor: Stridor is a high-pitched, harsh inspiratory sound from upper-airway obstruction (larynx/trachea), not the intermittent inspiratory popping described.
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