The nurse is caring for a client in the preoperative period and documenting rationale for a palliative surgical procedure. Which rationale is most appropriate?
The physician needs additional information to plan medical treatment.
The client wishes to improve body structures and elects a procedure.
The physician is repairing a deformity from birth or disease process.
The client and physician are focusing on symptom relief, not a cure.
The Correct Answer is D
Choice A reason: Palliative surgery prioritizes symptom relief, not diagnostic data collection. Procedures like biopsies aim to gather information for medical planning, not alleviate symptoms. Palliative surgery addresses issues like pain or obstruction in terminal conditions, improving quality of life without curing, making this choice incorrect for palliative rationale.
Choice B reason: Elective procedures for improving body structures, like cosmetic surgery, are not palliative. Palliative surgery focuses on symptom relief in serious illnesses, not aesthetic enhancements. This choice is irrelevant, as palliative care aims to manage symptoms like pain or obstruction, not improve physical appearance or structure.
Choice C reason: Repairing deformities from birth or disease is linked to reconstructive surgery, not palliative care. Palliative surgery relieves symptoms like pain or obstruction without addressing the underlying cause, unlike corrective procedures, making this choice inappropriate for the rationale of a palliative surgical procedure.
Choice D reason: Palliative surgery relieves symptoms, such as pain or obstruction, in conditions where a cure is not feasible, like terminal cancer. It focuses on improving quality of life, not curing the disease, making this the most appropriate rationale for a palliative surgical procedure in the preoperative context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Continuing aspirin increases bleeding risk during surgery due to its antiplatelet effect, inhibiting clot formation for 7–10 days. This can lead to excessive intraoperative hemorrhage, making it an incorrect instruction, as stopping aspirin is standard to ensure hemostasis.
Choice B reason: Increasing aspirin heightens bleeding risk, as its antiplatelet effect persists for 7–10 days. Discontinuing only 3 days prior is insufficient, and resuming 3 days post-surgery risks bleeding, making this an incorrect and unsafe instruction for surgical preparation.
Choice C reason: Stopping aspirin 7 days before surgery is standard, as its antiplatelet effect lasts 7–10 days, reducing bleeding risk. This allows platelet function to normalize, preventing hemorrhage, making it the correct instruction, with physician guidance for conditions like cardiac stents.
Choice D reason: Taking half doses of aspirin does not mitigate its antiplatelet effect, which persists for 7–10 days, increasing surgical bleeding risk. This is insufficient to ensure hemostasis, making it an incorrect instruction compared to stopping aspirin 7 days prior for safer outcomes.
Correct Answer is ["0.7"]
Explanation
Step 1 is (144 lbs ÷ 2.2) Result = 65.45 kg (rounded to 65.5 kg for dosing precision)
Step 2 is (0.01 mg × 65.5 kg) Result = 0.655 mg
Step 3 is rounding 0.655 to the nearest tenths place Result = 0.7 mg
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