The nurse is attempting to get the patient to sign the operative ...

[karateprodigy]

The nurse is attempting to get the patient to sign the operative consent. When asked if the health care provider explained the procedure to the patient, the patient replies Not much. The nurse should:
 
  a. develop a comprehensive teaching plan related to the surgical procedure.
  b. ask the patient what information the doctor has explained about the surgery.
  c. contact the surgeon and ask for further clarification of information given to patient.
  d. focus on postoperative exercises and home-care following surgery.

Question 2

A patient with moderate lower back pain tells the nurse, My urine smells awful and is as dark as my glass of tea. Which action will assist in validating the patient's concern?
 
  a. Ask the patient to describe the back pain.
  b. Review the lab results of the most recent urinalysis.
  c. Request the nursing assistant to obtain a set of vital signs.
  d. Check the patient's history for urinary tract infections.

[Jossy]

Answer to Question 1

ANS: B
Careful observation and attention to detail help the nurse to notice subtle cues and recognize how best to validate and interpret patient data. The nurse must be careful not to make false assumptions or generalizations regarding the patient's responses to the health concern. The nurse is correct to ask the patient about the upcoming surgical procedure instead of assuming that the patient has limited knowledge. Developing a comprehensive teaching plan is not necessary until further clarification is obtained. Focusing on postoperative treatment plans is important but not the priority at this time. It is not appropriate to contact the surgeon unless the patient demonstrates an actual knowledge deficit.

Answer to Question 2

ANS: B
As patient information is collected, consistency between subjective and objective data must be confirmed. Sometimes, the nurse can use laboratory and diagnostic test results to validate the subjective data. For example, objective data can validate patient subjective data when the patient's hemoglobin level is low, indicating anemia, and the patient complains of feeling fatigued and dizzy. The nurse has the responsibility to attempt to determine the reason behind the patient's complaint. Obtaining a set of vital signs, reviewing the patient's history, and exploring the patient's pain are appropriate actions but cannot validate the current problem.

[karateprodigy]

Both answers were spot on, thank you once again

[Jossy]

Great! Please up vote