A night nurse is preparing a client for a liver biopsy the next morning at 8:00 AM.
Which data is the most important for the nurse to report to the healthcare provider? The client:.
Has had nothing by mouth (NPO) since 2300.
Is having pain in the left lower quadrant, no BM for 24 hours.
Received a dose of clopidogrel at 2200.
Has an allergy.
The Correct Answer is C
The client received a dose of clopidogrel at 2200. Clopidogrel is an antiplatelet drug that increases the risk of bleeding during and after a liver biopsy. The healthcare provider should be informed of this medication and decide whether to postpone the biopsy or administer reversal agents.
Choice A is wrong because being NPO since 2300 is a standard preparation for a liver biopsy.
Choice B is wrong because pain in the left lower quadrant and constipation are not related to the liver biopsy and do not pose an immediate risk.
Choice D is wrong because having an allergy is not relevant to the liver biopsy unless it is an allergy to the local anesthetic or contrast agent used.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Formed stool two times per day, every day, for one week. This indicates that bowel training is attaining the desired outcome because it shows regularity and consistency of bowel movements without the use of laxatives or enemas.
Choice B is wrong because soap sud enemas are not recommended for bowel training as they can irritate the bowel and cause fluid and electrolyte imbalance.
Choice C is wrong because continued use of laxatives can inhibit the natural defecation reflexes and cause dependency.
Choice D is wrong because a formed, soft stool at regular intervals without the use of a laxative is a normal defecation pattern, not an indication of fecal incontinence.
Correct Answer is A
Explanation
Step 1 is: Convert 1 liter to milliliters 1 L = 1000 mL
Step 2 is: Convert 6 hours to minutes 6 × 60 = 360 min
Step 3 is: Calculate drops per minute using tubing drop factor (1000 mL ÷ 360 min) × 15 gtt/mL = (2.77 mL/min) × 15 = 41.66 drops/min
Step 4 is: Round to the nearest whole number Final answer: 42 drops per minute
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