A 29-year-old client is scheduled for an arthrotomy of the right knee following a football injury. The client describes his state of health as excellent and states that he does not use any medication. In providing psychological support for the client during the preoperative period, the nurse should:

Correct Answer: B

Rationale: Teaching coughing and deep breathing is a component of preoperative teaching, but it does not necessarily provide psychological support. Spiritual care, a component of psychological support, can reduce the client's fears and anxieties related to the surgical experience. Performing a physical assessment is part of the physical preparation for surgery, not the psychological preparation. Providing the preoperative medication is a part of the preparation immediately before surgery. While the medication will sedate and relax the client, it is not considered to be psychological support.

Correct Answer: D

Rationale: In a medical setting, prioritizing patients based on their acuity level is crucial for providing timely and appropriate care. In this scenario, the correct answer is D) Emergent. This means the patient requires immediate medical attention due to a life-threatening condition or situation that must be addressed without delay to prevent serious harm or death. Option A) High urgent typically refers to patients who require prompt care but are not in immediate danger of life-threatening complications. Option B) Urgent suggests a need for timely attention but does not indicate a critical, time-sensitive situation like an emergent case does. Option C) Non-urgent is for patients with conditions that do not require immediate attention and can often be managed on an outpatient basis. Educationally, understanding the prioritization of patients in medical settings helps healthcare professionals make informed decisions about resource allocation and care delivery. It ensures that those in critical need receive timely interventions, ultimately improving patient outcomes and safety. This knowledge is vital for nurses, physicians, and other healthcare providers to effectively triage and manage patients based on their acuity levels.

Correct Answer: C

Rationale: The most appropriate assignment for this nurse is option C) Ambulatory or fast track clinic. This choice is correct because the nurse is described as experienced in ambulatory and outpatient care, indicating a background suited for a setting like an ambulatory or fast track clinic. In this environment, the nurse can utilize their skills in managing less acute cases efficiently and effectively. Option A) Trauma team is incorrect because the nurse's background is not focused on trauma care, which requires specialized training and skills. Placing the nurse in this setting could compromise patient care and safety. Option B) Triage is not the best choice because the nurse's experience in ambulatory and outpatient care may not align with the rapid assessment and prioritization skills needed in a triage setting. Option D) Pediatric medicine team is also an incorrect choice as there is no indication that the nurse has experience or training in pediatric care, making it unsuitable for them to be assigned to this area. Educationally, understanding the importance of matching a nurse's skills and experience with the appropriate clinical setting is crucial for ensuring optimal patient care outcomes and nurse satisfaction. It highlights the significance of proper placement based on individual competencies to enhance overall healthcare delivery.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) The parent is unsure about the child's tetanus immunization status. This information should be immediately reported to the physician because tetanus immunization status is crucial for determining the need for tetanus prophylaxis in case of injury. Failure to provide appropriate tetanus prophylaxis can lead to serious complications. Option B) The child is upset and pulls out the IV is not the most critical issue to report immediately. While this situation may require attention to prevent further harm or discomfort to the child, it does not pose an immediate risk to the child's health like the tetanus immunization status. Option C) The parent declines the IV conscious sedation is important information but does not require immediate reporting unless it directly impacts the current procedure or the child's safety. Option D) The parent wants information about the IV conscious sedation is not as urgent as the tetanus immunization status. While patient education is important, it can be addressed after ensuring the child's immediate medical needs are met. In an educational context, this question highlights the importance of prioritizing information in a healthcare setting. It emphasizes the significance of timely reporting of critical health information to ensure patient safety and appropriate medical interventions. Healthcare professionals need to develop critical thinking skills to identify and prioritize pertinent information for effective patient care.

Correct Answer: B

Rationale: In this scenario, the correct first action to direct the caller to perform is to remove the stinger by scraping. This is because the priority in a situation where someone has been stung by a bee is to remove the stinger as quickly as possible to prevent more venom from entering the body. Option A, calling 911, may be necessary in severe cases where there is an allergic reaction or if the person stung has a history of severe reactions. However, in a typical bee sting situation without signs of a severe allergic reaction, immediate removal of the stinger takes precedence. Option C, applying a cool compress, can provide relief for pain and swelling after the stinger has been removed, but it is not the first action to take. Option D, taking an oral antihistamine, may be recommended later if there is itching or swelling, but it is not the initial step to take. In an educational context, it is important to teach individuals how to respond to common medical situations such as bee stings. Knowing the correct first aid steps can make a significant difference in the outcome of such incidents. By emphasizing the importance of prompt stinger removal in bee stings, we can empower people to take immediate and effective action in similar situations.