A nurse is caring for a client who is scheduled for heart surgery. Prior to surgery the client states, "I'm not sure I want to go through with this procedure after all." Which of the following actions should the nurse take?

Inform the client that this procedure is the only option they have for treatment.

Reinforce and clarify the information provided by the surgeon with the client.

Terminate the conversation and state. "It's too late to cancel the procedure."

Delay the procedure and enlist additional staff to persuade the client to have the procedure.

Answer and Explanation

The Correct Answer is B

A. It is important to provide the client with all options available, including risks, benefits, and alternatives to the surgery. Telling the client that the procedure is the only option may limit their autonomy and decision-making ability.

B. The nurse should reinforce the information already provided by the surgeon and clarify any questions the client may have. This ensures that the client is fully informed and can make an educated decision about their care. Encouraging open communication helps the client feel more comfortable with their decision.

C. This response disregards the client’s right to make decisions about their own care. The client must be given the opportunity to express concerns and make an informed choice about their treatment.

D. Persuading the client to undergo surgery is not appropriate. The nurse should support the client’s decision-making process, providing clear and accurate information while respecting their autonomy. Coercion is unethical and does not align with patient-centered care.

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Correct Answer is ["C","D","E"]

Explanation

A. Born with a high birth weight: High birth weight is generally not considered a risk factor for hearing loss. In fact, low birth weight, prematurity, or complications during birth are more often associated with an increased risk of hearing issues.

B. Frequent exposure to low-volume noise: Frequent exposure to low-volume noise is not typically a risk factor for hearing loss. However, exposure to loud noises (high volume) over time is a significant risk factor for hearing damage and loss.

C. Use of a loop diuretic: The use of loop diuretics, such as furosemide, is associated with an increased risk of ototoxicity, which can lead to hearing loss. This is a known risk for people taking these medications, especially in high doses or with prolonged use.

D. Chronic infections of the middle ear: Chronic ear infections can lead to hearing loss by damaging the structures of the middle ear or causing scarring. Recurrent middle ear infections, or otitis media, increase the risk of long-term hearing impairment.

E. Perforation of the eardrum: A perforated eardrum can lead to hearing loss, particularly if it affects the middle ear's ability to transmit sound properly. It can also make the ear more susceptible to infections, which could further contribute to hearing loss.

A. Magnetic resonance imaging (MRI) of the abdomen B. Kidney, ureter, bladder (KUB) radiograph C. Renal ultrasound D. CT scan with contrast

Correct Answer is D

Explanation

A. Magnetic resonance imaging (MRI) of the abdomen: An MRI is a safe diagnostic procedure for clients with reduced kidney function, as it does not involve the use of nephrotoxic contrast material. This is typically safe for clients with kidney issues.

B. Kidney, ureter, bladder (KUB) radiograph: A KUB radiograph is a simple X-ray of the abdomen and does not involve contrast. It is safe for clients with reduced kidney function and can be used to assess the kidneys and urinary system.

C. Renal ultrasound: A renal ultrasound is a non-invasive imaging procedure that uses sound waves to assess kidney structure and function. It does not require contrast and is safe for clients with reduced kidney function.

D. CT scan with contrast: Contrast material can be nephrotoxic, especially in clients with reduced kidney function. This can lead to contrast-induced nephropathy, which should be avoided or carefully managed in patients with kidney impairment.

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A nurse is caring for a client who is scheduled for heart surgery. Prior to surgery the client states, "I'm not sure I want to go through with this procedure after all." Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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