A nurse is preparing to witness a client sign a consent for a laparoscopic total cholecystectomy. The nurse should delay obtaining the signature and notify the provider if the client makes which of the following statements?
"I might have trouble staying on a low-fat diet after my surgery."
"I can resume my normal activities in 1 to 2 weeks."
"I will plan to be in the hospital for 24 hours following my surgery."
"I hope that removing my appendix will make me feel better."
The Correct Answer is D
A. "I might have trouble staying on a low-fat diet after my surgery."
- This statement reflects a concern about post-operative care and lifestyle adjustments. It's a valid concern but not a reason to delay the consent process or notify the provider. The client's ability to adhere to a low-fat diet can be addressed during pre-operative counseling or post-operative instructions.
B. "I can resume my normal activities in 1 to 2 weeks."
- This statement indicates an understanding of the post-operative recovery time frame, which is generally accurate for many laparoscopic cholecystectomy patients. This statement does not warrant delaying the consent process or notifying the provider.
C. "I will plan to be in the hospital for 24 hours following my surgery."
- This statement shows an understanding of the anticipated hospital stay after the surgery. It aligns with the typical length of hospitalization for a laparoscopic cholecystectomy. There is no need to delay the consent process or notify the provider based on this statement.
D. "I hope that removing my appendix will make me feel better."
- This statement raises a red flag as it indicates a misunderstanding or confusion about the procedure. A laparoscopic cholecystectomy involves removing the gallbladder, not the appendix. This misunderstanding could lead to the wrong procedure being performed. Therefore, it's crucial to delay obtaining the signature and notify the provider to clarify the intended surgery with the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.75"]
Explanation
To calculate the dosage of morphine, the nurse needs to use the formula D/H x V, where D is the desired dose, H is the dose on hand, and V is the volume on hand. In this case, D is 7.5 mg, H is 10 mg/mL, and V is 1 mL. Plugging these values into the formula, we get:
7.5 mg / 10 mg/mL x 1 mL = 0.75 mL
Therefore, the final answer is: 0.75 mL
The nurse should administer 0.75 mL of morphine subcutaneous to the patient.
Correct Answer is ["38"]
Explanation
To calculate the IV flow rate in gtt/min, the nurse needs to use the following formula: IV flow rate (gtt/min) = Volume (mL) x Drop factor (gtt/mL) / Time (min).
In this case, the volume is 150 mL, the drop factor is 15 gtt/mL, and the time is 60 min.
Plugging these values into the formula, we get: IV flow rate (gtt/min) = 150 x 15 / 60.
Simplifying, we get: IV flow rate (gtt/min) = 37.5.
Therefore, the nurse should set the IV flow rate to deliver 38 gtt/min.
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