The nurse is assisting in the care of a preoperative patient. The patient states, "I'm really afraid that I won't make it through the surgery." Which action by the nurse is appropriate?
Call the surgeon to talk to the patient.
Offer to call the chaplain for this patient.
Inform the patient that the survival rate for this surgery is very high.
Recommend analgesics only during surgery.
The Correct Answer is C
Choice A reason:
Calling the surgeon to talk to the patient may be helpful in some cases, but it does not directly address the patient's immediate emotional needs. The surgeon can provide detailed information about the procedure, which might alleviate some fears, but this is not always the immediate solution.
Choice B reason:
Offering to call the chaplain for the patient could provide emotional and spiritual support, which is important in holistic care. However, this should be done in addition to addressing the patient's concerns about the surgery itself.
Choice C reason:
Informing the patient that the survival rate for this surgery is very high directly addresses the patient's fear about not surviving the surgery. Providing factual reassurance about the success rate can help to alleviate anxiety and is an appropriate immediate response.
Choice D reason:
Recommending analgesics only during surgery does not address the patient's expressed fear and is not an appropriate response to the emotional concern. Analgesics are for pain management and do not provide reassurance about the outcome of the surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Notifying the physician is important, but it is not the immediate action to take. The nurse should first assess the patient's condition before contacting the physician.
Choice B reason: Evaluating the distal pulses is the correct action because it provides information on the blood flow to the extremities, which is crucial for patients with PAD.
Choice C reason: Having the patient lie in bed with a pillow under the knees is not recommended for PAD patients as it can decrease blood flow to the lower extremities.
Choice D reason: Covering the patient with a blanket may provide comfort, but it does not address the underlying issue of impaired blood flow in PAD.
Correct Answer is A
Explanation
Choice A reason: Dehiscence refers to the separation of layers of a surgical wound, which may be partial or complete.
Choice B reason: Evisceration is a more severe complication where the wound opens and internal organs may protrude.
Choice C reason: Gaping refers to a wound that is open but does not necessarily indicate the layers have separated, as in dehiscence.
Choice D reason: Distention generally refers to swelling or enlargement of an organ or area, not specifically to the opening of a wound.
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