Which laboratory test should the nurse include in the plan of care for a patient who may require a blood transfusion during the surgical procedure?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: A

Rationale: An appendectomy for appendicitis is classified as curative surgery because it removes the inflamed appendix to eliminate the disease and prevent complications like rupture. Diagnostic surgery investigates conditions, not applicable here as the diagnosis is clear. Urgent surgery describes timing, not purpose, though this procedure is urgent; classification prioritizes intent. Radical surgery involves extensive removal, typically for cancer, not appendicitis. The rationale focuses on the curative goal: excising the appendix cures the acute infection, aligning with surgical classifications where intent (cure, restore, palliate) defines the category. This distinguishes it from timing-based (urgent) or scope-based (radical) labels, emphasizing nursing's role in supporting recovery from a resolved condition.

Correct Answer: C

Rationale: The best description is that the nurse witnesses the patient's signature after the physician explains and before sedation , ensuring legal and ethical consent. Choice A reverses roles; choice B lacks specificity; choice D denies ongoing nursing duties. The rationale emphasizes collaboration: the surgeon informs, the nurse verifies comprehension and voluntariness, witnessing pre-sedation to ensure clarity. This protects patient autonomy, prevents coercion, and aligns with nursing's advocacy role, distinct from merely preparing forms or disengaging post-signature.

Correct Answer: B

Rationale: Malignant hyperthermia (MH) results from succinylcholine and inhalation agents , known triggers in genetically susceptible patients. Hypnotics , nitrous oxide , and fentanyl don't typically cause MH. The rationale identifies etiology: succinylcholine (a depolarizing relaxant) and volatile anesthetics (e.g., halothane) disrupt calcium regulation in muscles, causing hypermetabolism. Nursing recognizes these agents to anticipate MH, ensuring rapid intervention (e.g., dantrolene), critical for survival, distinguishing MH from other anesthetic complications.

Correct Answer: A

Rationale: Moderate sedation suits endoscopy , fracture reduction , and catheterization . Cesarean requires deeper anesthesia. The rationale explains suitability: moderate sedation (e.g., midazolam) keeps patients responsive yet relaxed for brief, less invasive procedures, unlike major surgeries needing general anesthesia. Nursing monitors consciousness and vitals, ensuring safety, tailored to procedure type.