Author Question: What nursing diagnosis would a circulating nurse use on his or her intraoperative patients who ... (Read 266 times)

D2AR0N · **on:** Jul 23, 2018

What nursing diagnosis would a circulating nurse use on his or her intraoperative patients who receive general anesthesia? (Select all that apply.)

A) Disturbed sensory perception
B) Risk for hypovolemia
C) Risk for latex allergy response
D) Disturbed body image
E) Anxiety

Question 2

The patient has arrived in the short stay unit for an infusion of tositumomab with 131 tositumomab (Bexxar). Before beginning the infusion,

the nurse assesses the patient's vital signs and finds the patient has a temperature of 101.5F, What is the nurse's priority action?
A) Holding the infusion until patient is afebrile
B) Notifying the physician
C) Starting the infusion and inform the physician
D) Treating the fever before beginning the therapy

lkanara2 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A, C, E
Feedback:
Nursing care of patients receiving general or local anesthetics should include safety precautions to prevent injury and skin breakdown, support and reassurance to deal with the loss of sensation and mobility, and patient teaching regarding what to expect to decrease stress and anxiety. Risk for hypovolemia and disturbed body image would be applicable to some surgical procedures but would not be related to general anesthesia.

Answer to Question 2

D
Feedback:
Monoclonal antibodies should be used cautiously with fever (treat the fever before beginning therapy). This makes Options A, B, and C incorrect.