The nurse is caring for a patient preparing for surgery. Which finding would concern the nurse?

Positive pregnancy test

Family history of hypertension

Signed advance directive

Medical history of diabetes

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is C

Explanation

Choice A reason: While injury and age can be risk factors, they are not the greatest contributors to RA, which is an autoimmune disease.

Choice B reason: Heat therapy can help relieve pain in some cases, but it is not always the best response for acutely inflamed joints; cold therapy is often recommended to reduce inflammation.

Choice C reason: RA can affect multiple body systems beyond the joints, including the cardiovascular and respiratory systems, so it is essential to monitor all body systems.

Choice D reason: Exercise is actually beneficial for patients with RA to maintain joint function and muscle strength; rest is important, but should be balanced with physical activity.

A. Just before the nurse anticipates the behavior B. When the behavior is done C. When the staff or family complains about the behavior D. When the limit is set

Correct Answer is D

Explanation

Choice A reason: Setting consequences just before the behavior occurs does not provide clear expectations and boundaries for the patient.

Choice B reason: Setting consequences after the behavior is done may not effectively prevent the behavior and can lead to inconsistent enforcement.

Choice C reason: Waiting for complaints before setting consequences can lead to a reactive rather than proactive approach to care.

Choice D reason: Consequences should be clearly communicated when the limit is set to establish clear boundaries and expectations, which is essential in managing patients with personality disorders.

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The nurse is caring for a patient preparing for surgery. Which finding would concern the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). What should the nurse consider when providing care?

Correct Answer is C

Explanation

When setting limits with patients with personality disorders, the consequences of violating those limits should be set at which time?

Correct Answer is D

Explanation

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