A client, who is recovering from bariatric surgery, is returning from the post-anesthesia care unit. Which nursing assessment is of greatest concern in the immediate postoperative period for this client?
Impaired Mobility.
Impaired Gas Exchange.
Self-Care Deficit.
Diarrhea.
The Correct Answer is B
Impaired Gas Exchange. Impaired gas exchange is the greatest concern in the immediate postoperative period for a client recovering from bariatric surgery, as the client may have difficulty breathing due to anesthesia, pain medication, or obesity-related respiratory problems.
Option A, Impaired Mobility, is a concern but not the greatest concern in the immediate postoperative period.
Option C, Self-Care Deficit, may be an issue but is not the greatest concern in the immediate postoperative period.
Option D, Diarrhea, may occur after bariatric surgery but is not the greatest concern in the immediate postoperative period.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Tinnitus and sensorineural hearing loss. Salicylates, loop diuretics, quinidine, quinine, or aminoglycosides can cause ototoxicity, which includes tinnitus (ringing in the ears) and sensorineural hearing loss. Therefore, the nurse should monitor the client for auditory changes and report them to the healthcare provider immediately.
Option A, impaired facial movement, is incorrect because it is a sign of facial nerve paralysis, which can occur due to Bell's palsy, stroke, or brain injury.
Option B, signs of hypotension, is incorrect because it can be caused by antihypertensive drugs or dehydration, not the drugs listed.
Option D, reduced urinary output, is incorrect because it can be a sign of acute kidney injury or dehydration, not the drugs listed.
Correct Answer is A
Explanation
Arm exercises on the affected side. Patients postmastectomy should avoid arm exercises on the affected side, especially if lymph nodes were removed, to prevent lymphedema. Wearing compression garments can also be helpful.
B: This option is correct and should be encouraged as it allows for easier movement of the arms.
C: This option is correct, but it does not address the specific needs of patients postmastectomy.
D: Applying cream to the breast is not necessarily contraindicated, but patients should be cautious about using any products that could irritate or damage the skin.
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