A client is being transferred to the medical-surgical unit from the PACU after receiving general anesthesia for a procedure. Which of the following actions is the priority for the nurse when the client arrives on the unit?

Assess airway patency

Check the dressing to assess bleeding.

Check tubes or drains for patency.

Assess all vital signs.

Answer and Explanation

The Correct Answer is A

A. Assess airway patency: Ensuring the airway is patent is the highest priority because compromised airway patency can lead to life-threatening respiratory complications. This is the first step in the ABCs (Airway, Breathing, Circulation) of emergency and postoperative care.
B. Check the dressing to assess bleeding: While assessing the dressing for bleeding is important, it is secondary to ensuring the client has a patent airway. Uncontrolled bleeding can be addressed after confirming the client can breathe adequately.
C. Check tubes or drains for patency: Checking tubes and drains for patency is also important, but it should be done after ensuring the client's airway is secure. This step is essential for preventing complications but is not as immediately critical as airway assessment.
D. Assess all vital signs: Assessing vital signs is crucial, but it follows after ensuring airway patency. Vital signs provide comprehensive information about the client's status, but an obstructed airway must be addressed first to ensure effective breathing and oxygenation.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B"]

Explanation

A. Potassium 2.9 mEq/L: This indicates hypokalemia, which is a common electrolyte imbalance associated with diuretic therapy, particularly with loop diuretics.
B. Sodium 125 mEq/L: This indicates hyponatremia, another possible electrolyte imbalance resulting from diuretic use.
C. Potassium 4.6 mEq/L: This is within the normal range and does not indicate an imbalance.
D. Sodium 139 mEq/L: This is within the normal range and does not indicate an imbalance.
E. Magnesium 2.1 mEq/L: This is within the normal range and does not indicate an imbalance.

A. Kayexalate (sodium polystyrene) B. Potassium chloride C. Sodium bicarbonate D. Aldactone (spironolactone)

Correct Answer is A

Explanation

A. Kayexalate (sodium polystyrene): This is the correct choice. Kayexalate is used to treat hyperkalemia (high serum potassium levels) by facilitating the removal of excess potassium from the body through the gastrointestinal tract.
B. Potassium chloride: This is used to treat hypokalemia (low potassium levels), not hyperkalemia.
C. Sodium bicarbonate: This can be used to correct metabolic acidosis and may indirectly help with potassium levels, but it is not the primary treatment for hyperkalemia.
D. Aldactone (spironolactone): This is a potassium-sparing diuretic that can increase potassium levels, which would be contraindicated in the case of hyperkalemia.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client is being transferred to the medical-surgical unit from the PACU after receiving general anesthesia for a procedure. Which of the following actions is the priority for the nurse when the client arrives on the unit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing serum laboratory test results of a client receiving diuretic therapy. The nurse determines the client is at risk for electrolyte imbalance based on which result(s)? (Select all that apply)

Correct Answer is ["A","B"]

Explanation

A nurse cares for a client with a serum potassium of 5.4 mEq/L. The nurse should anticipate a prescription order for what medication?

Correct Answer is A

Explanation

The client is admitted with a serum sodium level of 110 mEq/L. What nursing intervention should be implemented?

A client has been receiving IV potassium therapy. Upon further assessment, the nurse notes the site has become erythematous and edematous. Which action by the nurse is most appropriate?

A client who takes furosemide (Lasix) and propranolol (Inderal) is scheduled for breast reconstruction surgery. Which additional client information requires prompt collaboration with the healthcare provider before surgery?

The nurse is asked to witness surgical consent forms were obtained for clients, in the preoperative holding area. What client would not be able to consent legally to surgery?

The nurse is educating a client on the use of oral ferrous sulfate. Which statement made by the client requires a need for further education?

The nurse is taking a medication history of a client scheduled for surgery the next morning. Which medication requires the nurse to immediately notify the surgeon?