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?
Call the surgeon to talk to the patient.
Offer to call the chaplain for this patient.
Inform the patient that the survival rate for this surgery is very high.
Recommend analgesics only during surgery.
The Correct Answer is C
Choice A reason: Direct communication with the surgeon can provide the patient with reassurance and specific information about the surgery, which may alleviate fears.
Choice B reason: Offering spiritual support may be helpful, but it does not directly address the patient's concern about the surgery itself.
Choice C reason: Providing statistics may be reassuring, but it may not fully address the patient's individual fears.
Choice D reason: Recommending analgesics only addresses pain management and not the patient's expressed fear regarding the surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Coughing and deep breathing exercises after surgery are encouraged to prevent atelectasis, which is the collapse of part or (less commonly) all of a lung.
Choice B reason: Induction is not a postoperative complication; it refers to the process of initiating anesthesia.
Choice C reason: Hypothermia is a condition of abnormally low body temperature, not directly prevented by coughing and deep breathing.
Choice D reason: Hematoma, a collection of blood outside of blood vessels, is not prevented by coughing and deep breathing exercises.
Correct Answer is A
Explanation
Choice A reason: Assessing the client's level of anxiety is crucial as it can inform the nurse about the severity of the OCD symptoms and guide further interventions.
Choice B reason: Interrupting compulsive behavior abruptly can cause significant distress to the client and is not recommended without proper behavioral therapy techniques.
Choice C reason: Negative reinforcement techniques are not typically used in OCD management as they can exacerbate anxiety and are not considered therapeutic.
Choice D reason: Encouraging avoidance of anxiety-increasing situations may reinforce OCD behaviors and is not a recommended approach. Exposure and response prevention, a type of cognitive-behavioral therapy, is often used instead.
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