A nurse is assisting in the care of the client who is postoperative following a fasciotomy.

Exhibits

Which of the following actions should the nurse take? Select all that apply.

Prepare to obtain a wound culture.

Restrict fluid intake.

Administer an analgesic

Prepare to administer an antibiotic

Initiate supplemental oxygen.

Answer and Explanation

Correct Answer : A,C,D

A. Prepare to obtain a wound culture: A culture is necessary if infection is suspected.
B. Restrict fluid intake: Contraindicated as hydration is important to support healing and kidney function.
C. Administer an analgesic: Pain management is crucial postoperatively.
D. Prepare to administer an antibiotic: Antibiotics are indicated for infection prophylaxis or treatment.
E. Initiate supplemental oxygen: Not needed unless signs of respiratory distress or hypoxia are present.

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Correct Answer is C

Explanation

A. "Encourage three large meals daily.": Smaller, more frequent meals are often better tolerated, especially if the client has nausea or anorexia.
B. "Season foods with spices.": Spices might irritate the gastrointestinal tract, particularly if mucosal lesions are present.
C. "Provide a high-calorie diet.": Clients with AIDS often have increased energy needs due to hypermetabolism and malnutrition; a high-calorie diet helps maintain weight and energy levels.
D. "Administer an antiemetic after each meal.": Antiemetics should be administered before meals to prevent nausea and improve food intake.

A. "Cervical cancer screenings should begin at age 40 B. "Plan to continue cervical cancer screenings for the rest of your life." C. "You should get a Papanicolaou (Pap) test and human papillomavirus test every 5 years." D. "If you are immunized against human papillomavirus, you don't need cervical cancer screenings."

Correct Answer is C

Explanation

A. "Cervical cancer screenings should begin at age 40.": Screenings start at age 21, not 40.
B. "Plan to continue cervical cancer screenings for the rest of your life.": Screenings can stop after age 65 if the client has had adequate prior screening and no high-risk factors.
C. "You should get a Papanicolaou (Pap) test and human papillomavirus test every 5 years.": Current guidelines recommend Pap and HPV co-testing every 5 years for women aged 30–65.
D. "If you are immunized against human papillomavirus, you don't need cervical cancer screenings.": HPV vaccination reduces risk but does not eliminate the need for routine screening.

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A nurse is assisting in the care of the client who is postoperative following a fasciotomy. Exhibits Which of the following actions should the nurse take? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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A nurse is assisting in the care of the client who is postoperative following a fasciotomy.

Exhibits

Which of the following actions should the nurse take? Select all that apply.