The nurse is caring for a patient preparing for surgery. Which finding would concern the nurse?

Positive pregnancy test

Family history of hypertension

Signed advance directive

Medical history of diabetes

Answer and Explanation

The Correct Answer is A

Choice A reason: A positive pregnancy test is a significant concern for a patient preparing for surgery as it can affect the type of anesthesia used and the surgical approach, due to the potential impact on the fetus.

Choice B reason: While a family history of hypertension is important, it is not as immediately concerning as a positive pregnancy test in a patient preparing for surgery.

Choice C reason: A signed advance directive is a document that outlines a patient's wishes regarding medical treatment and is not a concern but rather a part of preoperative preparation.

Choice D reason: A medical history of diabetes is important to consider in surgical patients due to potential complications with wound healing and blood glucose control, but it is not as urgent as confirming pregnancy status before surgery.

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Correct Answer is ["C","D","E"]

Explanation

Choice A reason: A rational fear of certain objects is not typically associated with OCD, which is characterized by irrational fears or obsessions.

Choice B reason: Clients with OCD are usually very aware of their compulsions, even if they cannot control them.

Choice C reason: Rule-conscious behavior is common in OCD, as individuals may create strict routines to manage their anxiety.

Choice D reason: Difficulty relaxing is a characteristic of OCD due to persistent intrusive thoughts and compulsive behaviors.

Choice E reason: Perfectionist behavior is often seen in OCD, where there is an excessive concern with orderliness and details.

A. Use sterile gloves to place gentle pressure on the exposed organs. B. Have the client lie supine with legs straight. C. Gently suction secretions from the wound bed using a 12-gauge sterile catheter. D. Cover the area with saline-soaked sterile dressings.

Correct Answer is D

Explanation

Choice A reason: Applying gentle pressure on the exposed organs is not recommended as it can cause further damage.

Choice B reason: Having the client lie supine with legs straight is part of the correct positioning, but it does not address the need to protect the exposed organs.

Choice C reason: Suctioning secretions from the wound bed is not the immediate priority and can be harmful to the exposed tissues.

Choice D reason: Covering the area with saline-soaked sterile dressings is the correct intervention to keep the organs moist and reduce the risk of organ damage until surgical repair can be performed.

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The nurse is caring for a patient preparing for surgery. Which finding would concern the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who reports that he has obsessive-compulsive disorder (OCD). Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["C","D","E"]

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Correct Answer is D

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