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A client is receiving diazepam prior to a procedure. Which side effect should the nurse be most concerned about?

Hyperthermia

Hypertension

Tachycardia

Respiratory depression

Answer and Explanation

The Correct Answer is D

A. Hyperthermia is not commonly associated with diazepam.

B. Hypertension is not a common concern with diazepam use.

C. Tachycardia is not a significant side effect of diazepam.

D. Respiratory depression is the most serious and potentially life-threatening side effect of diazepam, requiring close monitoring.

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Correct Answer is ["B","D","E"]

Explanation

A. WBC results: The scenario does not mention abnormal WBC results or signs of infection, so this is not relevant to surgical risk in this case.

B. Aspirin: Aspirin has antiplatelet effects and increases the risk of bleeding during and after surgery. This risk is compounded in procedures requiring significant tissue manipulation.

C. Glucose level: No specific glucose value is provided; without evidence of uncontrolled hyperglycemia or hypoglycemia, this is not a confirmed risk factor here.

D. Smoking history: A 20-year history of smoking increases the risk of poor oxygenation, impaired wound healing, and respiratory complications during and after surgery.

E. Type 2 diabetes mellitus: Diabetes increases the risk of delayed wound healing and postoperative infections due to hyperglycemia and impaired immune function.

A. Assisting the client to remove the jewelry. B. Providing education to the client about the surgical procedure. C. Instruct the client on how to use an incentive spirometer. D. Being a witness to informed consent

Correct Answer is A

Explanation

A. Assisting the client to remove jewelry is within the UAP's scope of practice and does not require clinical judgment.

B. Providing education about a surgical procedure requires nursing knowledge and cannot be delegated.

C. Instructing the client on the use of an incentive spirometer is a teaching activity requiring an RN’s expertise.

D. Witnessing informed consent is a legal responsibility that must be performed by an RN.

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A client is receiving diazepam prior to a procedure. Which side effect should the nurse be most concerned about?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is scheduled for a surgical procedure. 3 Exhibits The nurse is reviewing the client's electronic medical record. Which of the following findings places the client at risk for a surgical complication? Select all that apply.

Correct Answer is ["B","D","E"]

Explanation

A nurse is working in a preoperative unit. Which task is most appropriate to be delegated to unlicensed assistive personnel (UAP)?

Correct Answer is A

Explanation

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