A nurse preparing to get a patient out of bed for the first time since surgery will initially:
place a walker at the side of the bed.
allow the patient to sit with the head of bed raised to the high Fowler's position.
assist the patient to sit and dangle his or her legs on the side of the bed.
assist the patient from a supine position to a standing position.
The Correct Answer is C
A. Place a walker at the side of the bed. A walker may not be necessary for all patients and should only be used if prescribed by the healthcare provider.
B. Allow the patient to sit with the head of bed raised to the high Fowler’s position. This helps with postural adjustment but is not the best first step before dangling the legs.
C. Assist the patient to sit and dangle his or her legs on the side of the bed. Gradual movement from lying to sitting to standing helps prevent orthostatic hypotension, which is common after surgery.
D. Assist the patient from a supine position to a standing position. Moving too quickly can cause dizziness, falls, and syncope due to orthostatic hypotension.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. The procedure to be performed. The surgical consent form must clearly state the procedure that will be performed so the patient understands what they are agreeing to.
B. The need for the procedure. The patient should be informed about the reason for the procedure to understand the necessity of the surgery.
C. Time and date signed. The time and date the consent is signed must be documented to confirm that the consent was given prior to surgery.
D. The related risks and benefits of the procedure. Informed consent requires that the risks and benefits of the procedure be explained to the patient to ensure they understand what they are consenting to.
E. Marital status. Marital status is not relevant to the informed consent process. The form should focus on the surgery details, not personal information unrelated to the procedure.
Correct Answer is C
Explanation
A. To relieve pain or complication without caring: This definition does not align with the meaning of "autologous." It is not related to relieving pain or complications.
B. Voluntary: "Voluntary" refers to an action taken by choice, but this is not the definition of "autologous."
C. Own, originating within an individual: "Autologous" refers to something that originates from the same individual. For example, autologous blood donation means the patient donates their own blood for later use.
D. Artificial body part: An artificial body part refers to a prosthesis, not something autologous. Autologous refers to the self, such as autologous tissue or stem cells.
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