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 B

Explanation

a) The symptoms described are indicative of hypoglycemia, and addressing the client's emotional state or offering to listen does not address the immediate medical issue.

b) Checking the blood glucose level is crucial to determine if the symptoms are due to hypoglycemia, and providing carbohydrates can help raise the blood sugar level promptly.

c) Assuming a panic attack without assessing the potential hypoglycemic state could delay appropriate intervention.

d) The symptoms described are not consistent with an allergic reaction, so giving diphenhydramine is not the appropriate response.

A. Ibuprofen B. Lithium C. Methotrexate D. Nicotine

Correct Answer is A

Explanation

Rationale for A: Ibuprofen is generally considered safe for use while breastfeeding, as it passes into breast milk in small amounts that are not expected to harm the infant.

Rationale for B: Lithium can have serious effects on a breastfeeding infant, as it can cause lethargy and developmental issues. Its use is generally not recommended during breastfeeding.

Rationale for C: Methotrexate is contraindicated during breastfeeding due to its potential toxicity and harmful effects on the infant, including possible effects on growth and development.

Rationale for D: Nicotine is harmful to infants and can affect their development. Smoking or using nicotine products while breastfeeding is discouraged due to the associated risks.

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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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