A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse. "I'm not sure I want to have a mastectomy." Which of the following statements should the nurse make?

"I can give you a list of other people who had the same procedure."

“can give you additional information about the procedure."

“You will be cancer-free if you have the procedure

“You should get a second opinion regarding the procedure."

Answer and Explanation

The Correct Answer is B

Choice A Reason:

"I can give you a list of other people who had the same procedure." - This response might not address the client's concerns and could potentially violate privacy and confidentiality.

Choice B Reason:

"I can give you additional information about the procedure." Response B is an appropriate and supportive response. The client is expressing uncertainty about the mastectomy, so offering more information about the procedure can help the client make an informed decision. Providing accurate and detailed information allows the client to better understand their options and the potential benefits and risks of the procedure.

Choice C Reason:

"You will be cancer-free if you have the procedure." - Making a guarantee of being cancer-free after the procedure might be misleading and overly optimistic. While a mastectomy can treat cancer in some cases, it's important to provide realistic information.

Choice D Reason:

"You should get a second opinion regarding the procedure." - While seeking a second opinion can be valuable, this response might not directly address the client's immediate concerns about the procedure. Providing information first and then discussing the option of a second opinion might be a more balanced approach.

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Correct Answer is C

Explanation

Choice A reason:

Hct 42% is not appropriate. This haematocrit value is within the normal range (usually around 36-46% for females and 38-50% for males).

Choice B reason:

WBC count 8,000/mm3 is not appropriate. This white blood cell count is within the normal range (typically around 4,500 to 11,000/mm3).

Choice C reason:

INR of 1.6 An INR (International Normalized Ratio) of 1.6 indicates that the client's blood clotting time is prolonged, which means that they might have a decreased ability to form blood clots. This could pose a significant risk during surgery, as proper blood clotting is important to prevent excessive bleeding. The surgeon needs to be aware of this result to determine if any adjustments to the surgical plan or preoperative medications are necessary to ensure the client's safety.

Choice D reason:

Platelets 95,000/mm3 is not appropriate This platelet count is slightly lower than the normal range (typically around 150,000 to 450,000/mm3), but it might not be low enough to be immediately concerning, especially if the client doesn't have a history of bleeding disorders. However, it's still important for the surgical team to be aware of this value.

A. Place pillows under the client's knees. B. Discourage leg exercises while in bed. C. Apply compression stockings to the lower extremities D. Avoid use of anticoagulants

Correct Answer is C

Explanation

Choice Areason:

Placing pillows under the client's knees might be useful for comfort, but it doesn't directly address the risk of DVT.

Choice Breason:

Discouraging leg exercises while in bed is not recommended because it can lead to decreased circulation and an increased risk of blood clot formation.

Choice C reason:

Applying compression stockings to the lower extremities is recommendable. After an open cholecystectomy surgery, the client is at risk for developing deep vein thrombosis (DVT) due to reduced mobility and surgical trauma. Applying compression stockings to the lower extremities can help improve blood circulation and reduce the risk of blood clot formation.

Choice D reason:

Avoiding the use of anticoagulants is not recommendable, if prescribed by the healthcare provider, could be detrimental in preventing postoperative complications like DVT. Anticoagulants are often used to prevent clot formation in high-risk surgical patients.

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A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse. "I'm not sure I want to have a mastectomy." Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing laboratory results for four clients who are scheduled for surgery. Which of the following laboratory values should the nurse report to the surgeon?

Correct Answer is C

Explanation

A nurse is planning care for a client who is 1 day postoperative following an open cholecystectomy. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is C

Explanation

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