Which drainage is drained with a Hemovac?

Correct Answer: D

Rationale: In medical-surgical nursing, the use of a Hemovac is common for draining wound drainage. The rationale behind this is that a Hemovac is a closed wound drainage system that applies negative pressure to remove excess fluid from a surgical site, promoting healing and reducing the risk of infection. Wound drainage often contains blood, serum, and other fluids that need to be effectively removed to prevent complications. Regarding the other options: - Bile is not drained with a Hemovac. Bile drainage typically requires a different type of drain, such as a T-tube or a biliary drain. - Urine drainage is managed through urinary catheters like Foley catheters or suprapubic catheters, not a Hemovac. - Gastric contents are usually drained using gastric tubes or nasogastric tubes, not a Hemovac. Understanding the appropriate use of drainage systems is crucial for nurses caring for patients postoperatively. Knowing which drainage system is suitable for specific types of drainage helps in preventing complications and promoting patient recovery. Nurses need to have a sound knowledge of various drainage systems and their indications to provide effective patient care.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) experiencing increased intraocular pressure. Following an intracapsular cataract extraction, there is a risk of developing increased intraocular pressure due to factors like retained lens material or blood in the eye. This can lead to symptoms like eye pain and nausea. Recognizing this complication is crucial for prompt intervention to prevent further damage to the eye. Option A) unable to tolerate a regular diet this soon postoperatively is incorrect because the symptoms described are more indicative of an ocular issue rather than a dietary problem. Option B) allergic to the pain medication is unlikely as the symptoms are specific to the eye and not generalized allergic reactions. Option D) exhibiting symptoms of postoperative infection is less likely without signs such as redness, discharge, or fever, which are typical in an infected eye. Educationally, understanding postoperative complications in ophthalmic surgeries is essential for nurses caring for patients undergoing such procedures. This knowledge enables timely identification and intervention, ultimately ensuring better outcomes for patients like Mrs. Blakely.

Correct Answer: D

Rationale: In the case of Mrs. Roberts, who communicates well by lipreading, it is crucial to avoid obscuring her view of your mouth when planning her care. This is the correct answer because lipreading relies on visual cues from the speaker's mouth movements and expressions to understand speech. By ensuring that Mrs. Roberts can clearly see your mouth while you speak, you are facilitating effective communication and maximizing her ability to understand you. Option A, facing her and slightly raising your voice, is incorrect because raising your voice may distort your lip movements and make it harder for Mrs. Roberts to lipread accurately. Option B, writing everything important, is also not the best approach as it may not be feasible in all care settings and could limit real-time communication. Option C, employing nonverbal cues, is helpful but may not be as effective as ensuring clear visibility of your mouth for someone who relies on lipreading. In an educational context, understanding the importance of accommodating different communication needs of patients is a key aspect of providing patient-centered care. Nurses and healthcare professionals should be aware of the diverse communication preferences and abilities of their patients to ensure effective and empathetic communication, ultimately leading to improved patient outcomes and experiences.

Correct Answer: B

Rationale: The correct response, option B, is the best choice in this scenario for several reasons. First, it acknowledges the patient's distress and addresses their concerns empathetically. By reassuring the patient that they are not in immediate danger of dying from opioid withdrawal, the nurse can help manage the patient's anxiety and build rapport. Additionally, offering to check if there are any PRN (as needed) medications available demonstrates a proactive approach to addressing the patient's discomfort within the scope of appropriate care. Option A is incorrect because calling a rapid response for a patient experiencing opioid withdrawal is not warranted unless the patient is in a life-threatening situation, such as respiratory distress or severe overdose. This response may escalate the situation unnecessarily and is not aligned with evidence-based practice for managing opioid withdrawal. Option C is also incorrect as it dismisses the patient's concerns and delays addressing their distress. Patients in withdrawal often experience intense physical and psychological symptoms, and it is important to provide support and guidance promptly. Option D is incorrect because ordering a narcotic for a patient in opioid withdrawal is not recommended as it can perpetuate the cycle of addiction and is not considered best practice in managing withdrawal symptoms. In an educational context, this scenario highlights the importance of effective communication, empathy, and evidence-based practice in managing patients with substance use disorders. Nurses play a crucial role in providing holistic care to individuals experiencing withdrawal and must approach such situations with compassion and a focus on harm reduction strategies.

Correct Answer: A

Rationale: The best response to the patient's father calling his son a bum due to his drug use and legal issues is option A) Anyone can become physiologically and psychologically dependent on drugs, leading to various negative consequences. This response is correct because it addresses the father's judgmental statement with empathy and educates about the nature of addiction. By highlighting the physiological and psychological aspects of drug dependence, it helps the father understand that his son's behavior is a result of a complex issue requiring compassion and support. Option B) Your son realizes his problem and is trying to change, while positive, may oversimplify the challenges of addiction and may not address the father's concerns adequately. Option C) Have you thought about going to family therapy? and Option D) Have you heard about Nar-Anon or Al-Anon? are premature suggestions before addressing the father's misconceptions about addiction. In an educational context, it is crucial to teach healthcare professionals to respond to sensitive family dynamics with empathy and evidence-based information. Understanding addiction as a complex health issue rather than a moral failing is essential in providing holistic care to patients and their families. Educating on the multifaceted nature of addiction helps reduce stigma and fosters a supportive environment for recovery.