A male preoperative client who has already signed the informed consent for a surgical procedure confides to the practical nurse (PN) that he is really frightened and unsure about undergoing the surgery. Which priority action should the PN take?

Document that the client has expressed concerns about the surgery

Encourage the client to continue with the scheduled surger

Remind the client that the consent has already been obtained

Notify the charge nurse of the client's concerns about surgery

Answer and Explanation

The Correct Answer is D

d) Notify the charge nurse of the client's concerns about surgery.

Explanation:

When a client expresses fear and uncertainty about undergoing surgery, it is important for the practical nurse (PN) to communicate this information to the charge nurse or the healthcare provider. By notifying the appropriate person, the PN ensures that the client's concerns are addressed and appropriate interventions can be implemented.

Options a) and c) are not the priority actions because documenting the client's concerns or reminding them about the signed consent does not address their emotional needs or provide support.

Option b) may not be the most appropriate response, as simply encouraging the client to continue with the scheduled surgery without addressing their fears and uncertainties may not be sufficient to alleviate their anxiety.

Therefore, the best course of action is to notify the charge nurse or healthcare provider so that they can assess the client's concerns, provide reassurance, and address any questions or fears the client may have prior to the surgery.

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Correct Answer is D

Explanation

Choice A reason: Analgesics are not the most effective classification of medications for treating this pain because they are drugs that relieve pain by blocking pain signals or reducing inflammation, but they do not address the underlying cause of trigeminal neuralgia, which is compression or irritation of the trigeminal nervE.

Choice B reason: Antihistamines are not the most effective classification of medications for treating this pain because they are drugs that block histamine receptors and reduce allergic reactions, but they do not affect the function or activity of the trigeminal nervE.

Choice C reason: Antibiotics are not the most effective classification of medications for treating this pain because they are drugs that kill or inhibit bacteria and treat infections, but they do not treat trigeminal neuralgia unless it is caused by a bacterial infection, which is rarE.

Choice D reason: Anticonvulsants are the most effective classification of medications for treating this pain because they are drugs that stabilize nerve membranes and reduce nerve impulses, which can decrease the frequency and intensity of trigeminal neuralgia attacks

A. Continue with the triage process. B. Evacuate the emergency department C. Place the client in a private room D. Treat the client after contaminated items are removed E. Send the client and EMS crew to decontamination

Correct Answer is ["B","E"]

Explanation

Choice A reason: Continuing with the triage process is not an immediate intervention that needs to be taken by the triage nurse because it can expose more people to the chemical spill and worsen their condition. The triage nurse should stop the triage process and alert the emergency department staff about the potential contamination.

Choice B reason: Evacuating the emergency department is an immediate intervention that needs to be taken by the triage nurse because it can prevent further exposure and harm to other clients, staff, and visitors. The emergency department should be cleared and sealed until it is safe to re-enter.

Choice C reason: Placing the client in a private room is not an immediate intervention that needs to be taken by the triage nurse because it can contaminate the room and its equipment, as well as pose a risk to anyone who enters or leaves the room. The client should be isolated in a designated area for decontamination.

Choice D reason: Treating the client after contaminated items are removed is not an immediate intervention that needs to be taken by the triage nurse because it can delay the treatment and increase the absorption of the chemical into the body. The client should be treated as soon as possible after decontamination.

Choice E reason: Sending the client and EMS crew to decontamination is an immediate intervention that needs to be taken by the triage nurse because it can remove or neutralize the chemical from their skin, clothing, and equipment, as well as reduce their symptoms and complications. The client and EMS crew should be directed to a designated area for decontamination.

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A male preoperative client who has already signed the informed consent for a surgical procedure confides to the practical nurse (PN) that he is really frightened and unsure about undergoing the surgery. Which priority action should the PN take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with trigeminal neuralgia experiencing intermittent, sudden, severe pain on the left side of the facE. The nurse identifies which classification of medications is most effective in treating this pain?

Correct Answer is D

Explanation

An emergency room nurse is performing secondary triage on clients transported from the scene of a chemical spill. After caring for the clients, the EMS workers complain of nausea and dizziness. Which immediate interventions need to be taken by the triage nurse? SELECT ALL THAT APPLY

Correct Answer is ["B","E"]

Explanation

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