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Question 31Type: MCSAA patient diagnosed with a brain tumor is reluctant to agree to a surgical excision of the lesion. How can the nurse best address the patient’s concerns?1. Notifying the neurosurgeon of the patient’s concerns2. Assuring the patient that the procedure is necessary3. Providing detailed written information on the benefits of the proposed procedure4. Asking the patient to be more specific about the concerns
Correct Answer: Rationale 1: The neurosurgeon may be notified of the concern if it is outside the nurse's scope of responsibility.Rationale 2: Merely assuring the patient about the necessity of the procedure does not address the patient’s concerns.Rationale 3: While written reinforcement of the information is appropriate, the patient needs personal involvement on the part of the nurse to address specific concerns.Rationale 4: The nurse has a responsibility to help address the patient’s concerns, but this cannot be done until the nurse fully understands those concerns.4Global Rationale: Cognitive Level: ApplyingClient Need: Psychosocial IntegrityClient Need Sub: Nursing/Integrated Concepts: Nursing Process: ImplementationLearning Outcome: 21-5Question 32Type: MCSAA patient has developed severe postsurgical muscle weakness in the lower extremities after the removal of a brain tumor. The nurse takes which initial intervention to minimize the patient’s risk of developing a deep vein thrombosis (DVT)?4
Global Rationale: Cognitive Level: ApplyingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: ImplementationLearning Outcome: 21-5