The patient is to undergo breast implants following a total mastectomy. This surgery is classified as:

Emergency

Palliative

Reconstructive

Curative

Answer and Explanation

The Correct Answer is C

A. Emergency. Emergency surgeries are performed immediately to treat life-threatening conditions. Breast implants following a mastectomy are not an emergency, but rather a planned procedure.

B. Palliative. Palliative surgeries are performed to relieve symptoms or improve quality of life, often in terminal illness. While reconstructive surgery after a mastectomy can improve a patient's quality of life, it is not primarily palliative.

C. Reconstructive. Reconstructive surgery is performed to restore or improve the function or appearance of a body part, particularly after trauma or disease. Breast implants after a mastectomy are classified as reconstructive surgery because they aim to restore the appearance of the breast after its removal.

D. Curative. Curative surgeries are intended to remove or treat a disease to cure the patient. While breast implants can improve a patient's appearance after a mastectomy, they do not cure any underlying disease or condition.

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Correct Answer is A

Explanation

A. Start with small sips of water at first to see if they are retained. Starting with small sips allows the digestive system to adjust gradually, reducing the risk of nausea, vomiting, or complications from overconsumption after surgery.

B. Wait until his liquid diet tray arrives at mealtime. The patient is eager to try fluids, and waiting for the full meal tray may unnecessarily delay the process of reintroducing fluids.

C. Take in a variety of fluids totaling 3000mls/day. The patient should not be expected to consume a large volume of fluid right away; fluid intake should be gradually increased as tolerated.

D. Go ahead and drink all the water he wants. Allowing the patient to drink freely can overwhelm the digestive system and may cause complications, such as nausea or vomiting.

A. place a walker at the side of the bed. B. allow the patient to sit with the head of bed raised to the high Fowler's position. C. assist the patient to sit and dangle his or her legs on the side of the bed. D. assist the patient from a supine position to a standing position.

Correct Answer is C

Explanation

A. Place a walker at the side of the bed. A walker may not be necessary for all patients and should only be used if prescribed by the healthcare provider.

B. Allow the patient to sit with the head of bed raised to the high Fowler’s position. This helps with postural adjustment but is not the best first step before dangling the legs.

C. Assist the patient to sit and dangle his or her legs on the side of the bed. Gradual movement from lying to sitting to standing helps prevent orthostatic hypotension, which is common after surgery.

D. Assist the patient from a supine position to a standing position. Moving too quickly can cause dizziness, falls, and syncope due to orthostatic hypotension.

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The patient is to undergo breast implants following a total mastectomy. This surgery is classified as:

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Naxlex Comprehensive Predictor Exams

The second day post-operatively, the NG tube is removed and an order is written for fluids as tolerated and a liquid diet. The patient is eager to try taking fluids. What should the nurse recommend that he do?

Correct Answer is A

Explanation

A nurse preparing to get a patient out of bed for the first time since surgery will initially:

Correct Answer is C

Explanation

After the surgery, the patient is transferred to the PACU. Functions of the nurse in the PACU are to

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