A client needs emergency surgery after sustaining injuries from a natural gas explosion. The client ...

A client needs emergency surgery after sustaining injuries from a natural gas explosion. The client is not attended by any family member and the surgery cannot wait.
 
  Which of the following can be done to ensure the best and safest care is provided to the client?
  1. Hold the surgery until a family member arrives to the hospital to provide consent.
  2. Contact a pastor to pray with the client before the surgery.
  3. Instruct the client in postoperative exercises while waiting for anesthesia to take effect.
  4. Have a member of the nursing staff try to reach the family at home to provide consent for the surgery.

Question 2

Which of the following would the nurse most likely assess in a client diagnosed with right-sided heart failure?
 
  1. Distended neck veins
  2. Oliguria
  3. Cough with frothy blood-tinged sputum
  4. Syncope

Question 3

A client is undergoing diagnostic testing for infective endocarditis. Which of the following laboratory tests would be most useful in diagnosis?
 
  1. Basic metabolic panel
  2. Blood cultures
  3. Reticulocyte count
  4. Prothrombin time

Question 4

An elderly client scheduled for surgery is concerned that his wife is not going to be able to manage at home alone. Which of the following can the nurse do to help this client and spouse?
 
  1. Encourage the client to not worry about his spouse.
  2. Ask the client if the spouse would agree to having some help while he is hospitalized.
  3. Encourage the spouse to come and stay with the client in the hospital.
  4. Suggest the spouse stay in a hotel until the client is discharged.

Question 5

The nurse is instructing a client diagnosed with mild heart failure on dietary modifications. Which of the following client statements indicates that the instruction has been effective?
 
  1. I will avoid green beans.
  2. I will avoid orange juice.
  3. I will avoid soy sauce.
  4. I will avoid apple sauce.

Question 6

In planning the care for a client diagnosed with heart failure, which of the following would be an appropriate goal?
 
  1. Reduce myocardial contractility.
  2. Increase cardiac workload.
  3. Decrease ejection fraction.
  4. Increase activity levels.