NUR 158 Chapter 43 || with Complete Solutions.
A 51-year-old woman was diagnosed with breast cancer several weeks ago and has now
presented to the hospital prior to her scheduled total mastectomy. What is the best response from
the nursing assistant when this client asks why her surgeon did not believe that a partial
mastectomy was sufficient to remove her cancer?
Do some online research about the differences between the two procedures and report back to the
client.
Tell the client that it is understandable that she is anxious but to try to put the matter out of her
mind.
Tell the client that it is likely related to the extent of her cancer and the type of cancer cells
involved.
Tell the client that you will inform the care team that she still has some unanswered questions
about her surgery. correct answers Tell the client that you will inform the care team that she still
has some unanswered questions about her surgery.
A client has just had abdominal surgery and has been ordered to do coughing and deep breathing
exercises. However, it hurts the client to take a deep breath, and the client does not want to do the
exercises. What action should the nursing assistant prioritize?
Let the person do the exercises later, after the incision has healed a bit and she or he is in less
pain.
Support the incision site with a small pillow or folded towel while the individual coughs, to help
minimize pain.
Give the individual an incentive spirometer to use.
Help the client to do the exercise from the supine position. correct answers Support the incision
site with a small pillow or folded towel while the individual coughs, to help minimize pain.
A client has presented to the outpatient surgery department at 0630 as scheduled in anticipation
of today's surgery. What should the nursing assistant do to prepare the client?
Give the client antibiotics to prevent an infection postoperatively.
Obtain informed consent from the client.
Teach the client about what the surgeon will be doing to her.
, Remove the client's glasses and put them in a safe place. correct answers Remove the client's
glasses and put them in a safe place.
A client is scheduled for surgery tomorrow. She has been placed on NPO, I&O monitoring and
has an IV line in her right arm. Which nursing assistant action should be a part of this client's
preoperative care?
Refill the water pitcher as needed and measure the IV fluids.
Have family members bring her favorite snacks and beverages.
Remove the water pitcher from the bedside table, offer frequent oral care, and measure and
record any output.
Offer her ice chips frequently and record the amount, check the IV insertion site for swelling,
record all output. correct answers Remove the water pitcher from the bedside table, offer
frequent oral care, and measure and record any output.
A client is scheduled for surgery tomorrow. While the nursing assistant is helping the client get
ready for bed, the client asks a question about the surgical procedure that will take place in the
morning. What action should the nursing assistant prioritize?
Answer the question to the best of his or her ability.
Report the question to the nurse immediately.
Tell the client not to worry, that everything will be just fine.
Tell the client to ask the health care provider the question tomorrow, right before the surgery.
correct answers Report the question to the nurse immediately.
A nursing assistant is providing care for a preoperative client. What task should the nursing
assistant prioritize?
Explain why the client's surgery is a viable and reasonable treatment option.
Teach the client about the most common complications in the postoperative period.
Obtain written consent from the client if this has not been done by the physician or nurse.
Identify anxiety in a preoperative client and engage the person in dialogue. correct answers
Identify anxiety in a preoperative client and engage the person in dialogue.
A 51-year-old woman was diagnosed with breast cancer several weeks ago and has now
presented to the hospital prior to her scheduled total mastectomy. What is the best response from
the nursing assistant when this client asks why her surgeon did not believe that a partial
mastectomy was sufficient to remove her cancer?
Do some online research about the differences between the two procedures and report back to the
client.
Tell the client that it is understandable that she is anxious but to try to put the matter out of her
mind.
Tell the client that it is likely related to the extent of her cancer and the type of cancer cells
involved.
Tell the client that you will inform the care team that she still has some unanswered questions
about her surgery. correct answers Tell the client that you will inform the care team that she still
has some unanswered questions about her surgery.
A client has just had abdominal surgery and has been ordered to do coughing and deep breathing
exercises. However, it hurts the client to take a deep breath, and the client does not want to do the
exercises. What action should the nursing assistant prioritize?
Let the person do the exercises later, after the incision has healed a bit and she or he is in less
pain.
Support the incision site with a small pillow or folded towel while the individual coughs, to help
minimize pain.
Give the individual an incentive spirometer to use.
Help the client to do the exercise from the supine position. correct answers Support the incision
site with a small pillow or folded towel while the individual coughs, to help minimize pain.
A client has presented to the outpatient surgery department at 0630 as scheduled in anticipation
of today's surgery. What should the nursing assistant do to prepare the client?
Give the client antibiotics to prevent an infection postoperatively.
Obtain informed consent from the client.
Teach the client about what the surgeon will be doing to her.
, Remove the client's glasses and put them in a safe place. correct answers Remove the client's
glasses and put them in a safe place.
A client is scheduled for surgery tomorrow. She has been placed on NPO, I&O monitoring and
has an IV line in her right arm. Which nursing assistant action should be a part of this client's
preoperative care?
Refill the water pitcher as needed and measure the IV fluids.
Have family members bring her favorite snacks and beverages.
Remove the water pitcher from the bedside table, offer frequent oral care, and measure and
record any output.
Offer her ice chips frequently and record the amount, check the IV insertion site for swelling,
record all output. correct answers Remove the water pitcher from the bedside table, offer
frequent oral care, and measure and record any output.
A client is scheduled for surgery tomorrow. While the nursing assistant is helping the client get
ready for bed, the client asks a question about the surgical procedure that will take place in the
morning. What action should the nursing assistant prioritize?
Answer the question to the best of his or her ability.
Report the question to the nurse immediately.
Tell the client not to worry, that everything will be just fine.
Tell the client to ask the health care provider the question tomorrow, right before the surgery.
correct answers Report the question to the nurse immediately.
A nursing assistant is providing care for a preoperative client. What task should the nursing
assistant prioritize?
Explain why the client's surgery is a viable and reasonable treatment option.
Teach the client about the most common complications in the postoperative period.
Obtain written consent from the client if this has not been done by the physician or nurse.
Identify anxiety in a preoperative client and engage the person in dialogue. correct answers
Identify anxiety in a preoperative client and engage the person in dialogue.
