If a patient states that he is having second thoughts and is not sure he wants to have the surgery, the nurse would

ask his wife to speak to him to reassure him.

assure him that everything will go well.

tear up the surgical consent he signed.

notify the surgeon right away of the situation.

Answer and Explanation

The Correct Answer is D

A. Ask his wife to speak to him to reassure him.
This option is not ideal because the nurse should address the patient's concerns directly. It is important to ensure the patient is making an informed decision and is emotionally supported, but the spouse should not be the first point of contact for reassurance in this case.

B. Assure him that everything will go well.
While it is important to reassure the patient, the nurse should not make promises about the outcome. Assuring the patient everything will go well could lead to unrealistic expectations and may not address the underlying concern.

C. Tear up the surgical consent he signed.
Tearing up the consent is not an appropriate action. The nurse should not act on the patient's uncertainty before consulting the surgeon. The patient has the right to withdraw consent, and this should be addressed properly through communication with the surgeon.

D. Notify the surgeon right away of the situation.
The nurse should immediately notify the surgeon about the patient's change of mind. The surgeon is responsible for providing further clarification and addressing any concerns before proceeding with surgery. The patient must be fully informed and comfortable with their decision.

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Correct Answer is A

Explanation

A. Atelectasis. Atelectasis is the collapse of alveoli due to hypoventilation, which commonly occurs postoperatively, especially in the lung bases.

B. Rales. Rales (crackles) are abnormal lung sounds associated with fluid in the alveoli, commonly seen in conditions like pneumonia or pulmonary edema, not atelectasis.

C. Rhonchi. Rhonchi are low-pitched sounds caused by mucus in the airways, often seen in chronic bronchitis or COPD.

D. Pneumothorax. Pneumothorax presents with absent breath sounds on one side, not bilaterally in the lung bases.

A. Dry crust on the incision line B. Increased urine output C. Decreased level of consciousness D. Adventitious breath sounds E. Oral temperature of 38.3° C (101° F)

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

Explanation

A. Dry crust on the incision line.
Dry crust on the incision line could indicate that the wound is healing well, but it is not typically a sign of infection. Infection is more commonly associated with redness, warmth, and drainage. A dry crust does not automatically suggest infection.

B. Increased urine output.
Increased urine output is generally a sign of good hydration or adequate kidney function, not an indication of infection. Infection would more likely present with a fever or abnormal wound appearance, not increased urine output.

C. Decreased level of consciousness.
A decreased level of consciousness can be a sign of sepsis, an infection that has spread throughout the body. This is a serious indicator of possible infection, especially if it is sudden or unexplained in the postoperative period.

D. Adventitious breath sounds.
Adventitious breath sounds could be a sign of a respiratory infection or complications such as pneumonia, but they are not necessarily linked to infection at the surgical site. If the sounds are related to infection, this could be a sign of a lower respiratory tract infection.

E. Oral temperature of 38.3° C (101° F).
An oral temperature of 38.3° C (101° F) is a fever, which is a classic sign of infection. Fever is a common early sign of infection in the postoperative period and should be promptly addressed to rule out surgical site infection or other complications.

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If a patient states that he is having second thoughts and is not sure he wants to have the surgery, the nurse would

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is 2 days postoperative. The nurse auscultates bilateral breath sounds but absent breath sounds in the bases. The nurse should suspect which of the following postoperative complications?

Correct Answer is A

Explanation

Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)

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

Explanation

The nurse is aware that in both the very young and the older adult surgical patient, the risk is much higher for:

A nurse is caring for a client who is postoperative. When helping to manage the client's pain, which of the following principles should the nurse apply? (Select all that apply.)

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The circulating nurse is responsible for:

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