A client has had emergency surgery for a ruptured appendix. Before surgery, the client was taking dexamethasone for three years. With the client's steroid use history, for which complication will the nurse monitor in the recovery phase?

Bradycardia

Postoperative blood clots

Impaired wound healing

Pre-surgical dehydration

Answer and Explanation

The Correct Answer is B

A) Bradycardia is not typically associated with long-term steroid use; it may be more related to factors like anesthesia or surgical stress.

B) Prolonged steroid use increases the risk of thrombosis, and postoperative blood clots are a concern in individuals with a history of long-term steroid use.

C) Steroids can delay wound healing, but in this context of emergency surgery for a ruptured appendix, the primary concern is often the risk of blood clots.

D) Pre-surgical dehydration is a potential concern but is not specifically related to the client's history of steroid use.

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Correct Answer is C

Explanation

A) Stopping routine asthma medications may actually increase the risk of complications, including exacerbation of asthma and potential harm to the baby.

B) Stopping all routine medications is not recommended without consulting a healthcare provider.

C) Many asthma medications are considered safe during pregnancy, and managing asthma is important for both maternal and fetal health.

D) There is a need for concern, and it is essential for pregnant women with asthma to work with their healthcare providers to manage their condition appropriately.

A. "Cough medicine tastes bad, and infants usually won't take it." B. "Infants are more susceptible to central nervous system effects than adults are." C. "Babies have a more rapid gastric emptying time and don't absorb drugs well." D. "Infants metabolize drugs too rapidly, so drugs aren't as effective."

Correct Answer is B

Explanation

a) The taste of cough medicine is not the primary concern for not recommending it to infants. The key issue lies in potential adverse effects, especially on the central nervous system. b) Infants have an immature central nervous system and are more susceptible to the sedative effects of medications. This is a critical factor in avoiding medications with sedative side effects in infants.

c) Gastric emptying time and drug absorption are generally faster in infants, making them more susceptible to rapid drug effects rather than less. However, the central nervous system effects are of greater concern.

d) Infants may metabolize drugs differently, but this does not necessarily mean the drugs are less effective. The primary concern is the potential for increased susceptibility to adverse effects.

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A client has had emergency surgery for a ruptured appendix. Before surgery, the client was taking dexamethasone for three years. With the client's steroid use history, for which complication will the nurse monitor in the recovery phase?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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