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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: Vomiting can be a sign of a transfusion reaction, but it is not as specific as low back pain for an acute hemolytic reaction.

Choice B reason: Urticaria, or hives, may indicate an allergic reaction but is not specific to an acute hemolytic reaction.

Choice C reason: Low back pain is a classic symptom of an acute hemolytic reaction, which is a serious and potentially life-threatening condition that requires immediate attention.

Choice D reason: Pulmonary congestion may occur in various conditions and is not the most specific indicator of an acute hemolytic reaction.

A. Divorce at age 50 B. Whatever the patient says is stressful C. Loss of job at age 55 D. Gallbladder surgery at age 60

Correct Answer is B

Explanation

Choice A reason: Divorce can be a stressor, but it is not universally stressful to every individual; it depends on the person's experience and perception.

Choice B reason: Stress is subjective, and what one person finds stressful may not be stressful to another. Therefore, if the patient identifies an event as stressful, it should be considered as such.

Choice C reason: Loss of job can be a significant stressor due to financial and social implications, but again, it depends on the individual's circumstances and perception.

Choice D reason: Surgery can be a stressor due to its impact on physical health and potential for causing anxiety about medical procedures and outcomes.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who is receiving a blood transfusion. The nurse should monitor for which of the following findings as an indication the client is having an acute hemolytic reaction?

Correct Answer is C

Explanation

The nurse is collecting admission data on a new patient with a long health history. Which of the following life events is considered a stressor?

Correct Answer is B

Explanation

Effective coping skills are described as:

The nurse is caring for a patient who is one day post-mastectomy and notes that she is sobbing and gasping for breath. What should the nurse do first?

The nurse is caring for a patient undergoing surgery with the nursing diagnosis of deficient knowledge related to lack of previous surgical experience. Which nursing intervention is appropriate? (Select all that apply.)

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A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?