Preoperative Care: Therapeutic CommunicationClient recovers from his episode and
is discharged. The client is able to finish his course of chemotherapy over the next
several weeks. Following the completion of chemotherapy, the client is admitted to
the acute care center for a left thoracotomy. The night before the scheduled surgery,
the nurse observes that client is unable to sleep and is moving around restlessly in his
bed. The client asks the nurse what if they don't wake up after surgery?
The nurse suspects which etiologic factor is responsible for both the objective and
subjective assessment data?
Fear.
Grief.
Pain.
Confusion.
Give this one a try later!
a. Fear.
Client's restless behavior and verbalization reflect fear.Kwong, M., Harding,
, D., Roberts, C., Reinisch, D., & Hagler, J. (2020). Lewis's Medical-Surgical
Nursing. (11th edition). St. Louis, Missouri. Elsevier. Pg. 263.
After the assessment of breath sounds, which action should the nurse take next?
a. Administer the ordered IV antiemetic.
b. Notify radiology of the need for an x-ray.
c. Question the HCP of the need for the sodium chloride infusion.
d. Withdraw blood from the central line for the ordered lab work.
Give this one a try later!
b. Notify radiology of the need for an x-ray.
X-ray results are needed to confirm the placement of the triple-lumen
catheter and to rule out a pneumothorax. This should be obtained before
administering fluids or medications through the catheter.Kwong, M.,
Harding, D., Roberts, C., Reinisch, D., & Hagler, J. (2020). Lewis's Medical-
Surgical Nursing. (11th edition). St. Louis, Missouri. Elsevier. Pg. 293.
What nursing action should the nurse expect to implement following the
bronchoscopy?
a. Offer a soft food such as ice cream once the client is awake.
b. Keep client NPO until the gag reflex returns.
c. Monitor the vital signs every two hours.
d. Because of pain, expect the client to experience tachycardia after the procedure.
Give this one a try later!
, b. Keep client NPO until the gag reflex returns.
Client should remain NPO until the gag reflex has returned. Prior to the
procedure, they will be given topical anesthetic to numb the back of the
throat; once to gargle, and then to breathe through an aerosol
mask.Kwong, M., Harding, D., Roberts, C., Reinisch, D., & Hagler, J. (2020).
Lewis's Medical-Surgical Nursing. (11th edition). St. Louis, Missouri. Elsevier.
Pg. 471.
Once the client is awake, the nurse checks for return of gag reflex, and
then offers ice chips and then progresses to clear liquids.
The vital signs should be monitored frequently after the procedure to
assess for complications. Vital signs are monitored every 15 minutes for a
prescribed period of time.
There should not be pain, but slight discomfort may be present.
Tachycardia, hypotension, signs of hypoxia or dysrhythmias should be
reported to HCP.
Client tells the nurse that they have never had surgery before, but has had a friend
who had surgery and became unconscious and died. During further conversation, the
nurse learns that client participates in many practices of the American Indian culture,
and requests that a shaman visit them.
Which nursing action is most important to implement at this time?
Notify the surgeon of client's fears.
Inquire more about the process of contacting a shaman.
Notify the social worker of the need to offer support to client.
Consult the policy and procedure manual for guidance.
Give this one a try later!
is discharged. The client is able to finish his course of chemotherapy over the next
several weeks. Following the completion of chemotherapy, the client is admitted to
the acute care center for a left thoracotomy. The night before the scheduled surgery,
the nurse observes that client is unable to sleep and is moving around restlessly in his
bed. The client asks the nurse what if they don't wake up after surgery?
The nurse suspects which etiologic factor is responsible for both the objective and
subjective assessment data?
Fear.
Grief.
Pain.
Confusion.
Give this one a try later!
a. Fear.
Client's restless behavior and verbalization reflect fear.Kwong, M., Harding,
, D., Roberts, C., Reinisch, D., & Hagler, J. (2020). Lewis's Medical-Surgical
Nursing. (11th edition). St. Louis, Missouri. Elsevier. Pg. 263.
After the assessment of breath sounds, which action should the nurse take next?
a. Administer the ordered IV antiemetic.
b. Notify radiology of the need for an x-ray.
c. Question the HCP of the need for the sodium chloride infusion.
d. Withdraw blood from the central line for the ordered lab work.
Give this one a try later!
b. Notify radiology of the need for an x-ray.
X-ray results are needed to confirm the placement of the triple-lumen
catheter and to rule out a pneumothorax. This should be obtained before
administering fluids or medications through the catheter.Kwong, M.,
Harding, D., Roberts, C., Reinisch, D., & Hagler, J. (2020). Lewis's Medical-
Surgical Nursing. (11th edition). St. Louis, Missouri. Elsevier. Pg. 293.
What nursing action should the nurse expect to implement following the
bronchoscopy?
a. Offer a soft food such as ice cream once the client is awake.
b. Keep client NPO until the gag reflex returns.
c. Monitor the vital signs every two hours.
d. Because of pain, expect the client to experience tachycardia after the procedure.
Give this one a try later!
, b. Keep client NPO until the gag reflex returns.
Client should remain NPO until the gag reflex has returned. Prior to the
procedure, they will be given topical anesthetic to numb the back of the
throat; once to gargle, and then to breathe through an aerosol
mask.Kwong, M., Harding, D., Roberts, C., Reinisch, D., & Hagler, J. (2020).
Lewis's Medical-Surgical Nursing. (11th edition). St. Louis, Missouri. Elsevier.
Pg. 471.
Once the client is awake, the nurse checks for return of gag reflex, and
then offers ice chips and then progresses to clear liquids.
The vital signs should be monitored frequently after the procedure to
assess for complications. Vital signs are monitored every 15 minutes for a
prescribed period of time.
There should not be pain, but slight discomfort may be present.
Tachycardia, hypotension, signs of hypoxia or dysrhythmias should be
reported to HCP.
Client tells the nurse that they have never had surgery before, but has had a friend
who had surgery and became unconscious and died. During further conversation, the
nurse learns that client participates in many practices of the American Indian culture,
and requests that a shaman visit them.
Which nursing action is most important to implement at this time?
Notify the surgeon of client's fears.
Inquire more about the process of contacting a shaman.
Notify the social worker of the need to offer support to client.
Consult the policy and procedure manual for guidance.
Give this one a try later!
