If a patient states that he is having second thoughts and is not sure he wants to have the surgery, the nurse would
ask his wife to speak to him to reassure him.
assure him that everything will go well.
tear up the surgical consent he signed.
notify the surgeon right away of the situation.
The Correct Answer is D
A. Ask his wife to speak to him to reassure him.
This option is not ideal because the nurse should address the patient's concerns directly. It is important to ensure the patient is making an informed decision and is emotionally supported, but the spouse should not be the first point of contact for reassurance in this case.
B. Assure him that everything will go well.
While it is important to reassure the patient, the nurse should not make promises about the outcome. Assuring the patient everything will go well could lead to unrealistic expectations and may not address the underlying concern.
C. Tear up the surgical consent he signed.
Tearing up the consent is not an appropriate action. The nurse should not act on the patient's uncertainty before consulting the surgeon. The patient has the right to withdraw consent, and this should be addressed properly through communication with the surgeon.
D. Notify the surgeon right away of the situation.
The nurse should immediately notify the surgeon about the patient's change of mind. The surgeon is responsible for providing further clarification and addressing any concerns before proceeding with surgery. The patient must be fully informed and comfortable with their decision.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Ask his wife to speak to him to reassure him.
This option is not ideal because the nurse should address the patient's concerns directly. It is important to ensure the patient is making an informed decision and is emotionally supported, but the spouse should not be the first point of contact for reassurance in this case.
B. Assure him that everything will go well.
While it is important to reassure the patient, the nurse should not make promises about the outcome. Assuring the patient everything will go well could lead to unrealistic expectations and may not address the underlying concern.
C. Tear up the surgical consent he signed.
Tearing up the consent is not an appropriate action. The nurse should not act on the patient's uncertainty before consulting the surgeon. The patient has the right to withdraw consent, and this should be addressed properly through communication with the surgeon.
D. Notify the surgeon right away of the situation.
The nurse should immediately notify the surgeon about the patient's change of mind. The surgeon is responsible for providing further clarification and addressing any concerns before proceeding with surgery. The patient must be fully informed and comfortable with their decision.
Correct Answer is C
Explanation
A. Time of last meal: Time of the last meal is essential for preventing aspiration during anesthesia but does not help determine the exact amount of anesthesia needed.
B. Pulse rate and blood pressure: Pulse rate and blood pressure are important for assessing the patient's cardiovascular status but are not directly used to calculate the amount of anesthesia needed.
C. Height and weight: Height and weight are critical for calculating the correct dose of anesthesia, as these factors affect the distribution and metabolism of the drug.
D. Respiratory rate and oxygen saturation: Respiratory rate and oxygen saturation are important for monitoring respiratory function, but they do not provide specific data needed to calculate the amount of anesthesia.
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