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 ["2"]
Explanation
To give the correct dose of levothyroxine, the nurse needs to calculate how many tablets of 75 mcg are equivalent to 150 mcg. The nurse can use a proportion to solve this problem. Let x be the number of tablets to administer. Then, the proportion is:
75 mcg / 1 tablet = 150 mcg / x tablets
Cross-multiplying, we get:
75x = 150
Dividing both sides by 75, we get:
x = 2
Therefore, the nurse should administer 2 tablets of levothyroxine 75 mcg to give a total of 150 mcg.
Correct Answer is ["3"]
Explanation
To calculate the dose of calcitonin for a client who weighs 165 lb, the nurse needs to convert the weight to kilograms first.
One kilogram is equal to 2.2 lb, so the client's weight in kilograms is 165 / 2.2 = 75 kg.
The prescribed dose is 8 units/kg, so the total dose is 8 x 75 = 600 units.
The available concentration is 200 units/mL, so the volume to administer is 600 / 200 = 3 mL.
The nurse should administer 3 mL of calcitonin IM to the client.
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