The patient requires surgery to remove a bullet from his neck. This surgery is classified as:

Elective

Emergency

Palliative

Reconstructive

Answer and Explanation

The Correct Answer is B

A. Elective. Elective surgeries are planned in advance and are not urgent. Removing a bullet from the neck is not an elective procedure; it is necessary to treat an acute injury.

B. Emergency. The removal of a bullet from the neck is considered an emergency surgery. It is typically performed to address immediate life-threatening injury or to prevent further complications, such as damage to vital structures.

C. Palliative. Palliative surgeries are performed to relieve symptoms or improve quality of life in patients with terminal illnesses. Removing a bullet from the neck is not a palliative measure, as it is intended to treat an acute physical injury.

D. Reconstructive. Reconstructive surgeries aim to restore function or appearance after trauma, but removing a bullet is not primarily reconstructive. The goal here is to treat the immediate injury and prevent further harm.

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Correct Answer is B

Explanation

A. Not an acceptable signature. This is incorrect because an "X" is legally acceptable if properly witnessed.

B. Legal if it is witnessed. An "X" is a valid legal signature if a witness verifies that the patient understands and voluntarily consents to the procedure.

C. Required to be accompanied by a picture identification. Picture identification is not necessary for consent validity; the primary requirement is witnessing.

D. Acceptable if the surgeon is willing. Consent must meet legal standards, not just the surgeon’s approval. A witness is required for it to be valid.

A. Distract the client by giving him reading material. B. Suggest that he take a walk around the unit. C. Ask him to describe his concerns. D. Refer him to the spiritual care team.

Correct Answer is C

Explanation

A. Distract the client by giving him reading material. Distraction may not address the underlying anxiety and could delay processing the client's concerns about the surgery.

B. Suggest that he take a walk around the unit. While walking can help with anxiety in some patients, it does not directly address the client's expressed concern about the surgery itself.

C. Ask him to describe his concerns. The nurse should acknowledge the patient's feelings by encouraging them to express their concerns. This helps reduce anxiety and provides valuable information for further support.

D. Refer him to the spiritual care team. While spiritual care may be beneficial later, it’s essential to first address the patient’s immediate concerns before referring them to other services.

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The patient requires surgery to remove a bullet from his neck. This surgery is classified as:

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Naxlex Comprehensive Predictor Exams

The illiterate patient signs the surgical consent form with an "X." The nurse is aware that this "X" is:

Correct Answer is B

Explanation

A nurse is caring for a client who is scheduled to undergo abdominal surgery and tells the nurse that he is very anxious about the operation. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A patient who had surgery earlier in the day using general anesthesia asks whether he can have something to eat. The diet order indicates clear liquids can be taken. Before giving a Jell O to the patient, the nurse should check for the presence of:

A patient undergoing preadmission testing before same day surgery asks how long he will remain in the recovery area before being allowed to go home. The nurse's most informative response would be:

A patient is ready for discharge following same day surgery. The education plan for this patient includes:

A nurse preparing to get a patient out of bed for the first time since surgery will initially:

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A 16-year-old boy injured in a motorcycle accident is unconscious and cannot sign the emergency surgical consent form; no family members can be located. The nurse anticipates that:

The patient requires surgery to remove a bullet from his neck. This surgery is classified as: