The nurse is performing preoperative thyroidectomy instruction ...

[shofmannx20]

The nurse is performing preoperative thyroidectomy instruction for a patient with Graves' disease. The patient begins to cry and says, I am so nervous and can't listen to you. Just get out What should the nurse do next?
 
  a. Give the patient written preoperative in-structions.
  b. Inform the charge nurse or surgeon of the patient's behavior.
  c. Remind the patient the preoperative in-formation is important.
  d. Ask the family member to explain the preoperative instructions.

Question 2

Which method is best to use for lotion application?
 
  a. Avoid shaking lotion to prevent bubble formation.
  b. Apply lotion heavily as the water from lotion evaporates.
  c. Wash off residue before applying fresh lotion.
  d. Apply a scant film of lotion on eyelids and in the nose.

[meltdown117]

Answer to Question 1

B
Informing the charge nurse or surgeon will alert them to possible ineffective control of the thy-roid, which can cause thyroid crisis postoperatively. The patient is not ready to read or listen to any instructions at this time, and instruction should not be deferred to a family member.

Answer to Question 2

C
The residue from previous applications should be removed before applying fresh lotion. Shaking lotion is not harmful, lotion should not be applied to damp skin, and application should be avoided on sensitive areas around the eyes and in the nose.