The nurse is assisting a coworker in preparing a patient for surgery. Which statement by the coworker should warrant intervention by the nurse?
"Will let the patient keep her nail polish on."
"Should remove her dentures."
"Can give her dentures to her family."
"Need a new set of vital signs before surgery."
The Correct Answer is A
Choice A reason: Nail polish should generally be removed before surgery to allow the pulse oximeter to function properly, but it is not as critical as removing dentures.
Choice B reason: Dentures should be removed before surgery to prevent aspiration and other complications during anesthesia.
Choice C reason: Giving dentures to the family is appropriate after they have been removed, so this does not warrant intervention.
Choice D reason: It is standard procedure to get a new set of vital signs before surgery, so this statement is correct and does not warrant intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: An appendectomy is a surgical procedure to remove the appendix, typically due to appendicitis.
Choice B reason: Removal of the colon is known as a colectomy, not an appendectomy.
Choice C reason: Cutting into the appendix may be part of the procedure, but appendectomy specifically refers to the removal of the appendix.
Choice D reason: Repair of the appendix is not a common procedure; appendectomies are performed to remove the appendix, not repair it.
Correct Answer is B
Explanation
Choice A reason: Unconsciousness is not typically a finding in the early compensatory stage of hypovolemic shock; it may occur in more advanced stages.
Choice B reason: Tachycardia, or rapid heartbeat, is a compensatory mechanism to maintain cardiac output during the early stages of hypovolemic shock.
Choice C reason: Cold clammy skin is a result of peripheral vasoconstriction, which is a compensatory response to maintain blood flow to vital organs.
Choice D reason: Diminished urine output occurs as the body conserves fluid in response to decreased blood volume.
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