Answer to Question 1
Correct Answer: 1, 2, 3, 5
Rationale 1: The degree of risk involved in a surgical procedure is affected by the client's age.
Rationale 2: The degree of risk involved in a surgical procedure is affected by the client's use of medications.
Rationale 3: The degree of risk involved in a surgical procedure is affected by the client's general health.
Rationale 4: Blood pressure is not identified as specifically impacting the degree of risk when having a surgical procedure.
Rationale 5: The degree of risk involved in a surgical procedure is affected by the client's nutritional status.
Answer to Question 2
Correct Answer: 1, 3, 5
Rationale 1: For the nasogastric tube placed to suction, the nurse should document the time suction was started.
Rationale 2: The characteristics of the wound drainage are not related to the nasogastric tube suction.
Rationale 3: For the nasogastric tube placed to suction, the nurse should document the pressure on the suction.
Rationale 4: The integrity of the surgical dressing is not related to the nasogastric tube suction.
Rationale 5: For the nasogastric tube placed to suction, the nurse should document the color and consistency of the drainage.
Lung Fissures, Right Lateral View
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Nurse collaboration
Nurse administering enteral nutrition through a feeding tube.
Approaching the client for the ophthalmoscopic exam
Mind over matter collage