The nurse is assisting a coworker in preparing a patient for surgery. Which statement by the coworker should warrant intervention by the nurse?

"Will let the patient keep her nail polish on."

"Should remove her dentures."

"Can give her dentures to her family."

"Need a new set of vital signs before surgery."

Answer and Explanation

The Correct Answer is A

Choice A reason: Nail polish should generally be removed before surgery to allow the pulse oximeter to function properly, but it is not as critical as removing dentures.

Choice B reason: Dentures should be removed before surgery to prevent aspiration and other complications during anesthesia.

Choice C reason: Giving dentures to the family is appropriate after they have been removed, so this does not warrant intervention.

Choice D reason: It is standard procedure to get a new set of vital signs before surgery, so this statement is correct and does not warrant intervention.

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Correct Answer is D

Explanation

Choice A reason: Instructing the patient to wear constrictive clothing is incorrect, as it can worsen venous stasis ulcers by impeding blood flow.

Choice B reason: Encouraging the patient to keep legs in a dependent position is not recommended, as elevation helps in reducing venous pressure.

Choice C reason: Frequent ambulation is encouraged to promote blood circulation and prevent stasis.

Choice D reason: Applying compression stockings is a standard care practice to help reduce venous pressure and prevent fluid from pooling in the legs.

A. Unconsciousness B. Tachycardia C. Cold clammy skin D. Diminished urine output

Correct Answer is B

Explanation

Choice A reason: Unconsciousness is not typically a finding in the early compensatory stage of hypovolemic shock; it may occur in more advanced stages.

Choice B reason: Tachycardia, or rapid heartbeat, is a compensatory mechanism to maintain cardiac output during the early stages of hypovolemic shock.

Choice C reason: Cold clammy skin is a result of peripheral vasoconstriction, which is a compensatory response to maintain blood flow to vital organs.

Choice D reason: Diminished urine output occurs as the body conserves fluid in response to decreased blood volume.

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The nurse is assisting a coworker in preparing a patient for surgery. Which statement by the coworker should warrant intervention by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with venous stasis ulcers. What actions should the nurse take?

Correct Answer is D

Explanation

A nurse is assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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