A nurse is preparing to witness a client sign a consent for a laparoscopic total cholecystectomy. The nurse should delay obtaining the signature and notify the provider if the client makes which of the following statements?
"I might have trouble staying on a low-fat diet after my surgery."
"I can resume my normal activities in 1 to 2 weeks."
"I will plan to be in the hospital for 24 hours following my surgery."
"I hope that removing my appendix will make me feel better."
The Correct Answer is D
A. "I might have trouble staying on a low-fat diet after my surgery."
- This statement reflects a concern about post-operative care and lifestyle adjustments. It's a valid concern but not a reason to delay the consent process or notify the provider. The client's ability to adhere to a low-fat diet can be addressed during pre-operative counseling or post-operative instructions.
B. "I can resume my normal activities in 1 to 2 weeks."
- This statement indicates an understanding of the post-operative recovery time frame, which is generally accurate for many laparoscopic cholecystectomy patients. This statement does not warrant delaying the consent process or notifying the provider.
C. "I will plan to be in the hospital for 24 hours following my surgery."
- This statement shows an understanding of the anticipated hospital stay after the surgery. It aligns with the typical length of hospitalization for a laparoscopic cholecystectomy. There is no need to delay the consent process or notify the provider based on this statement.
D. "I hope that removing my appendix will make me feel better."
- This statement raises a red flag as it indicates a misunderstanding or confusion about the procedure. A laparoscopic cholecystectomy involves removing the gallbladder, not the appendix. This misunderstanding could lead to the wrong procedure being performed. Therefore, it's crucial to delay obtaining the signature and notify the provider to clarify the intended surgery with the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Shake the suspension well before each administration.
The medication label specifically states, "IMPORTANT: SHAKE WELL BEFORE EACH USE," and "THIS PRODUCT MUST BE SHAKEN WELL ESPECIALLY PRIOR TO INITIAL USE." This indicates the necessity of shaking the suspension before administration to ensure proper mixing of the medication.
B. Dilute the suspension with 38 mL water prior to initial use.
There is no indication on the label to dilute the suspension with water. The label emphasizes shaking well before use, but dilution is not mentioned.
C. Store the suspension in the refrigerator.
The storage instructions on the label state, "Store at 20° to 25°C (68° to 77° F) see USP controlled room temperature." Refrigeration is not mentioned, and it is not recommended to deviate from the specified storage conditions.
D. Discard the suspension 14 days after opening the bottle.
The label does not provide specific information about the shelf life after opening. Therefore, it is essential to follow the specific instructions on the label or refer to the package insert for complete prescribing information regarding the expiration or discard date after opening. The information on the label does not specify a 14-day limit.
Correct Answer is ["0.71"]
Explanation
To calculate the correct dose of ceftriaxone for an adult client with a gonococcal infection, the nurse should use the following formula:
Dose (mg) / Concentration (mg/mL) = Volume (mL)
Plugging in the values from the question, we get:
250 mg / 350 mg/mL = 0.71 mL
Therefore, the nurse should administer 0.71 mL of the reconstituted medication to the client.
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