The nurse is assisting in the care of a preoperative patient who 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.

Answer and Explanation

The Correct Answer is C

Choice A reason: Direct communication with the surgeon can provide the patient with reassurance and specific information about the surgery, which may alleviate fears.

Choice B reason: Offering spiritual support may be helpful, but it does not directly address the patient's concern about the surgery itself.

Choice C reason: Providing statistics may be reassuring, but it may not fully address the patient's individual fears.

Choice D reason: Recommending analgesics only addresses pain management and not the patient's expressed fear regarding the surgery.

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Correct Answer is A

Explanation

Choice A reason: A positive pregnancy test is a significant concern for a patient preparing for surgery as it can affect the type of anesthesia used and the surgical approach, due to the potential impact on the fetus.

Choice B reason: While a family history of hypertension is important, it is not as immediately concerning as a positive pregnancy test in a patient preparing for surgery.

Choice C reason: A signed advance directive is a document that outlines a patient's wishes regarding medical treatment and is not a concern but rather a part of preoperative preparation.

Choice D reason: A medical history of diabetes is important to consider in surgical patients due to potential complications with wound healing and blood glucose control, but it is not as urgent as confirming pregnancy status before surgery.

A. Requires an excessive amount of advice before making decisions. B. Uses physical appearance to make others take notice of him. C. Preoccupied with maintaining order by following rigid rules. D. Believes his achievements are superior to others.

Correct Answer is C

Explanation

Choice A reason: While individuals with obsessive-compulsive personality disorder may seek advice, it is not typically to an excessive amount, and this does not capture the essence of the disorder.

Choice B reason: Using physical appearance to gain attention is not a characteristic of obsessive-compulsive personality disorder; it is more associated with histrionic personality disorder.

Choice C reason: Being preoccupied with order and following rigid rules is a core feature of obsessive-compulsive personality disorder, reflecting a need for control and perfectionism.

Choice D reason: Believing one's achievements are superior to others is indicative of narcissistic personality disorder, not obsessive-compulsive personality disorder.

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The nurse is assisting in the care of a preoperative patient who states, "I'm really afraid that I won't make it through the surgery." Which action by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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