Author Question: As the nurse prepares a patient the morning of surgery, the patient refuses to remove a wedding ... (Read 83 times)

acc299 · **on:** Jun 25, 2018

As the nurse prepares a patient the morning of surgery, the patient refuses to remove a wedding ring, saying, I have never taken it off since the day I was married. Which response by the nurse is best?

a. Have the patient sign a release and leave the ring on.
b. Tape the wedding ring securely to the patient's finger.
c. Tell the patient that the hospital is not liable for loss of the ring.
d. Suggest that the patient give the ring to a family member to keep.

Question 2

A patient has received atropine before surgery and complains of dry mouth. Which action by the nurse is best?

a. Check for skin tenting.
b. Notify the health care provider.
c. Ask the patient about any dizziness.
d. Tell the patient dry mouth is an expected side effect.

31809pancho · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
Jewelry is not allowed to be worn by the patient, especially if electrocautery will be used. There is no need for a release form or to discuss liability with the patient.

Answer to Question 2

ANS: D
Anticholinergic medications decrease oral secretions, so the patient is taught that a dry mouth is an expected side effect. The dry mouth is not a symptom of dehydration in this case. Therefore there is no immediate need to check for skin tenting. The health care provider does not need to be notified about an expected side effect. Weakness, forgetfulness, and dizziness are side effects associated with other preoperative medications such as opioids and benzodiazepines.