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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
Choice A reason: A rational fear of certain objects is not typically associated with OCD, which is characterized by irrational fears or obsessions.
Choice B reason: Clients with OCD are usually very aware of their compulsions, even if they cannot control them.
Choice C reason: Rule-conscious behavior is common in OCD, as individuals may create strict routines to manage their anxiety.
Choice D reason: Difficulty relaxing is a characteristic of OCD due to persistent intrusive thoughts and compulsive behaviors.
Choice E reason: Perfectionist behavior is often seen in OCD, where there is an excessive concern with orderliness and details.
Correct Answer is A
Explanation
Choice A reason: Assessing the client's level of anxiety is crucial as it can inform the nurse about the severity of the OCD symptoms and guide further interventions.
Choice B reason: Interrupting compulsive behavior abruptly can cause significant distress to the client and is not recommended without proper behavioral therapy techniques.
Choice C reason: Negative reinforcement techniques are not typically used in OCD management as they can exacerbate anxiety and are not considered therapeutic.
Choice D reason: Encouraging avoidance of anxiety-increasing situations may reinforce OCD behaviors and is not a recommended approach. Exposure and response prevention, a type of cognitive-behavioral therapy, is often used instead.
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