Melva is scheduled for an elective surgery. The surgeon comes to the preoperative area to review the surgical procedure with her. Alternatives are discussed, along with the benefits and risks associated with the surgery. Melva says she understands everything. This is:

Informed consent.

Time out.

Patient history.

Pre-op checklist.

Answer and Explanation

The Correct Answer is A

Choice A reason: Informed consent is obtained when a patient agrees to a procedure after understanding its risks and benefits, which is what Melva provided.

Choice B reason: A time out is a final review before surgery to ensure correct patient identity, procedure, and site, which is not described here.

Choice C reason: Patient history refers to the collection of a patient's medical background, which is not the focus in this scenario.

Choice D reason: The pre-op checklist is a list of tasks to be completed before surgery, not a discussion of the procedure itself.

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Correct Answer is D

Explanation

Choice A reason: Signal anxiety refers to a specific concern or perceived threat, which is not indicated by the patient's statement.

Choice B reason: Severe anxiety is a high level of anxiety that would likely impair functioning, which cannot be determined from the patient's statement alone.

Choice C reason: Moderate anxiety is a manageable level of anxiety, but the patient's statement suggests a more pervasive and non-specific anxiety.

Choice D reason: Free-floating anxiety is a general feeling of dread or foreboding that is not attached to any specific issue or situation, which aligns with the patient's expression of a vague sense of impending doom.

A. Increasing coughing B. Reducing anxiety C. Increasing blood pressure D. Increasing the client's respiratory rate

Correct Answer is B

Explanation

Choice A reason: Opioid analgesics do not typically increase coughing; they may actually suppress cough reflexes.

Choice B reason: Opioid analgesics are known to have a calming effect, which can help reduce anxiety in postoperative patients.

Choice C reason: Opioids can lead to decreased blood pressure, not an increase.

Choice D reason: Opioids typically decrease the respiratory rate, which is a potential side effect that needs to be monitored.

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Melva is scheduled for an elective surgery. The surgeon comes to the preoperative area to review the surgical procedure with her. Alternatives are discussed, along with the benefits and risks associated with the surgery. Melva says she understands everything. This is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient states to the nurse, "I just know something bad is going to happen to me." Which type of anxiety is the patient experiencing?

Correct Answer is D

Explanation

A nurse is caring for a client during the immediate postoperative period following thoracic surgery. When administering an opioid analgesic for pain, the nurse should explain that the medication should have which of the following effects?

Correct Answer is B

Explanation

The mental health status examination includes (select all that apply):

The nurse is assisting in the care of a preoperative patient. The patient states, "I'm really afraid that I won't make it through the surgery." Which action by the nurse is appropriate?

An older adult patient experiences a fracture of the lower leg and undergoes closed reduction and placement of a fiberglass cast. What should the nurse prepare for when planning care?

Which component of the Mental Health Status Examination focuses on the way a person experiences reality?

The nurse is reinforcing teaching for a patient who is using a continuous passive motion (CPM) machine. Which of these, if stated by the patient, indicates to the nurse correct understanding of its purpose?

The nurse is assisting in the care of a preoperative patient who states, "I'm really afraid that I won't make it through the surgery." Which action by the nurse is appropriate?

Mr. S states, "Look at the snakes on the ceiling!" You see some cracks in the plaster. Mr. S is experiencing a/an:

A patient with peripheral arterial disease (PAD) is sitting in a chair and has cool feet that are reddish-purple in color. What action should the nurse take?