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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Ensure the door to the client's room remains open: The door should be kept closed to minimize exposure to radiation. Keeping the door open increases the risk of radiation exposure to others in the area.
B. Wear sterile gloves during patient care: Sterile gloves are not required for care during internal radiation therapy unless there is direct contact with bodily fluids or radioactive materials. Standard precautions are sufficient.
C. Wear a lead apron when providing client care: A lead apron is recommended for healthcare workers to protect themselves from radiation exposure during internal radiation therapy. The lead apron absorbs radiation and helps reduce the risk of harmful exposure.
D. Place a dosimeter on the client's gown: The dosimeter is typically worn by healthcare workers to measure radiation exposure, not the client. The client would not wear a dosimeter in this situation.
Correct Answer is ["30"]
Explanation
Calculation:
- Determine the concentration of the available lidocaine solution in milligrams per milliliter (mg/mL).
Available concentration = Total medication (mg) / Total volume (mL)
= 400 mg / 100 mL
= 4 mg/mL.
- Convert the desired dose from milligrams per minute (mg/min) to milligrams per hour (mg/hr).
1 hr = 60 min
Desired dose in mg/hr = 2 mg/min × 60 min/hr
= 120 mg/hr.
- Calculate the IV pump rate in milliliters per hour (mL/hr).
IV pump rate (mL/hr) = Desired dose (mg/hr) / Available concentration (mg/mL)
= 120 mg/hr / 4 mg/mL
= 30 mL/hr.
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