A nurse is assisting in the care of a 68-year-old male client in the postoperative unit. The client underwent a major abdominal surgery. The nurse should anticipate a provider prescription for a certain medication.

Exhibits

Please drag words from the choices below to fill in each blank in the following sentence: The nurse should anticipate a provider prescription for
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and
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.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Based on the provided information, the nurse should anticipate a provider prescription for 0.9% sodium chloride and Lorineiv 4mg every 4h.

This is because the patient is postoperative and may require fluid replacement to maintain hydration and manage mild discomfort.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

Choice A rationale

Bulging skin around the stoma can be a sign of a hernia, but it’s not uncommon in the early postoperative period. It should be monitored, but it’s not typically a cause for immediate concern.

Choice B rationale

A stoma that protrudes 2 cm (0.8 in) above the abdominal wall is considered normal. The stoma should protrude above the skin to prevent stool from coming into contact with the skin, which can cause irritation and breakdown.

Choice C rationale

A stoma that is moist and beefy red is a sign of a healthy stoma. This indicates that the stoma has a good blood supply and is not ischemic or necrotic.

Choice D rationale

No fecal output from the stoma 24 hours after surgery could indicate a blockage or other complication and should be reported to the provider immediately.

A. Glaucoma. B. DeBou syndrome. C. Migraine headaches. D. History of kidney stones.

Correct Answer is A

Explanation

Choice A rationale

Glaucoma is a contraindication for taking propranolol. Propranolol is a non-selective beta- blocker that can decrease intraocular pressure, which could worsen glaucoma.

Choice B rationale

DeBou syndrome is not a recognized medical condition and therefore cannot be a contraindication for taking propranolol.

Choice C rationale

Migraine headaches are not a contraindication for taking propranolol. In fact, propranolol is often used in the prevention of migraines.

Choice D rationale

A history of kidney stones is not a contraindication for taking propranolol. Propranolol does not affect kidney stone formation or exacerbate this condition.

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with postoperative care of a patient who had surgery for creation of a colostomy 24 hours ago. Which findings should the nurse report to the provider?

Correct Answer is D

Explanation

A nurse is reviewing the medical record of a patient who has hypertension and a new prescription for propranolol. What findings should the nurse identify as a contraindication for taking propranolol?

Correct Answer is A

Explanation

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