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) Rising slowly from lying to sitting and standing is a precaution to prevent orthostatic hypotension, a potential side effect of calcium channel blockers.

b) Elevating legs if edema occurs is a reasonable response to manage peripheral edema associated with calcium channel blockers.

c) Grapefruit juice can interact with calcium channel blockers, leading to increased drug levels and potential toxicity. This statement indicates a need for additional teaching.

d) Increasing fluid and fiber to limit the risk of constipation is a reasonable measure associated with the use of calcium channel blockers.

A. Allopurinol prevents the synthesis of uric acid. B. All of these medications should be taken concurrently during an acute attack, and non-steroidal anti-inflammatory drugs (NSAIDs) should be added for pain control. C. Colchicine reduces inflammation caused by uric acid. D. Probenecid facilitates the elimination of uric acid in the nephrons.

Correct Answer is B

Explanation

A) Allopurinol inhibits the synthesis of uric acid, preventing its formation.

B) Colchicine is typically used for gout flares and reduces inflammation but is not usually taken concurrently with probenecid and allopurinol. NSAIDs or corticosteroids are often used for pain control during acute attacks.

C) Colchicine is known for its anti-inflammatory properties but does not prevent uric acid synthesis or facilitate its elimination.

D) Probenecid increases the excretion of uric acid in the urine.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of these comments by a client taking a calcium channel blocker would indicate the need for additional teaching?

Correct Answer is C

Explanation

A client who is suffering from an acute gout attack wants to know how colchicine differs from probenecid and allopurinol in its actions. Which of these statements shows the need for further teaching regarding the purpose and use of these medications?

Correct Answer is B

Explanation

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