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Athe patient has taken dilantin today ban illegible

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a.The patient has taken Dilantin today.b.An illegible signature is on the consent form.c.The patient is still taking anticoagulants.d.The admission office is unable to confirm insurance coverage.ANS: CAll medications should be cancelled before surgery, except for drugs such as phenytoin(Dilantin). Anticoagulant therapy increases the threat of hemorrhage and may be a cause fordelay.PTS:1DIF:Cognitive Level: KnowledgeREF: Pages 1259, 1261, Table 41-6 OBJ: 7 TOP: Anticoagulant therapyKEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity4.Which circumstance could prevent the patient from signing his informed consent for acholecystectomy?a.The patient complains of pain radiating to the scapula.b.The patient received an injection of Demerol, 75 mg IM, 1 hour ago.c.The patient is 85 years of age.d.The patient is concerned over his lack of insurance coverage.ANS: BInformed consent should not be obtained if the patient is disoriented and under the influence ofsedatives. Age, illegibility, and lack of insurance coverage do not prevent signing the consent.Pain into the scapula is a symptom of colitis.PTS: 1 DIF: Cognitive Level: Application REF: Page 1248OBJ:7TOP:Informed consentKEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity5.The nurse anticipates that the patient will be given ______________anesthesia because of theextensive tissue manipulation involved in a hysterectomy.
NIHI FINAL GUIDEa.generalb.regionalc.specificd.preoperativeANS: AAn anesthesiologist gives general anesthetics by IV and inhalation routes through four stages ofanesthesia when the procedure requires extensive tissue manipulation.PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1259OBJ: 9 TOP: Anesthesia KEY: Nursing Process Step: AssessmentMSC: NCLEX: Physiological Integrity6.The nurse caring for a patient who had an epidural block for a vaginal repair should be alertfor:a.a flushing of the face and torso.b.numbness of the perineum.c.complaint of thirst.d.a sudden drop in blood pressure.ANS: DEpidural anesthesia may cause a sudden drop in blood pressure or respiratory difficulty as theanesthetic agent moves up in the spinal cord. Elevating the patients torso may prevent respiratoryparalysis.PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1262OBJ:9TOP:Epidural blockKEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity7.Why might the older adult patient not respond to surgical treatment as well as a younger adultpatient?a.Poor skin turgorb.Fear of the unknownc.Response to physiological changesd.Decreased peristalsis related to anesthesiaANS: COf specific concern in older adults is the bodys response to temperature changes, cardiovascularshifts, respiratory needs, and renal function. Fear of the unknown and decreased peristalsis arecommon to all ages.

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Term
Fall
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Test, Theory of cognitive development, The Grave,

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