A nurse is admitting a client to the surgical unit from the PACU following a cholecystectomy. Which of the following assessments is the nurse's priority?

Bowel sounds

Temperature

Surgical dressing

Oxygen saturation

Answer and Explanation

The Correct Answer is D

Choice A reason: Assessing bowel sounds is important for postoperative care, especially after abdominal surgery, but it is not the immediate priority upon admission from the PACU.
Choice B reason: Monitoring temperature is essential to detect signs of infection or other complications, but it is not the immediate priority right after surgery.
Choice C reason: Checking the surgical dressing for bleeding or signs of infection is important, but maintaining adequate oxygen saturation takes precedence immediately post-surgery.
Choice D reason: Oxygen saturation is the priority assessment because it ensures that the patient is receiving adequate oxygenation after surgery. Respiratory complications are common postoperatively, and ensuring proper oxygenation is crucial for patient safety.

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Correct Answer is B

Explanation

Choice A reason: Renal function is not reestablished during the oliguric phase of acute kidney injury. This phase is characterized by significantly reduced urine output, indicating ongoing impaired kidney function.
Choice B reason: Urine output of less than 400 mL per 24 hours is a defining feature of the oliguric phase. This reduced output reflects the kidneys' inability to filter and excrete waste products effectively.
Choice C reason: BUN (Blood Urea Nitrogen) and creatinine levels do not decrease during the oliguric phase; they typically increase due to the kidneys' reduced ability to clear these waste products from the blood.
Choice D reason: The glomerular filtration rate (GFR) does not recover during the oliguric phase. This phase is marked by a decreased GFR, indicating poor kidney function.

A. Epigastric pain during swallowing B. Regurgitation C. Progressive dysphagia D. Weight loss

Correct Answer is C

Explanation

Choice A reason: Epigastric pain during swallowing can occur in esophageal cancer but is not the most common or specific symptom. It could be related to other conditions such as gastroesophageal reflux disease (GERD) or peptic ulcers.
Choice B reason: Regurgitation can be a symptom but is more commonly associated with GERD or other less serious esophageal conditions rather than being a primary indication of esophageal cancer.
Choice C reason: Progressive dysphagia, or difficulty swallowing that worsens over time, is the most common and specific symptom of esophageal cancer. It occurs as the tumor grows and gradually obstructs the esophagus, making swallowing increasingly difficult.
Choice D reason: Weight loss can occur in esophageal cancer but is not as specific as progressive dysphagia. It may be a secondary symptom resulting from difficulty swallowing and reduced food intake.

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A nurse is admitting a client to the surgical unit from the PACU following a cholecystectomy. Which of the following assessments is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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