A nurse is caring for a client in the preoperative holding area.

Exhibits

For each preoperative assessment finding, click to specify if the assessment finding places the client at risk for hypoxemia, bleeding, or a DVT in the intra- op or post-op phases.

Platelet count

Hemoglobin

International normalized ration

Atrial fibrillation

Red blood cell count

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"D"},"E":{"answers":"A"}}

Platelet count: Low platelets (135,000/mm³) increase bleeding risk as they are essential for clot formation.

Hemoglobin: A hemoglobin level within the low normal range could increase the risk of hypoxemia, particularly in the perioperative period when oxygen demand may be higher.

INR: Elevated INR (1.5) indicates increased bleeding risk due to prolonged clotting time.

Atrial fibrillation: Increases the risk of DVT due to irregular heart rhythms, which can lead to blood pooling and clot formation.

RBC count: A low RBC count contributes to the risk of hypoxemia as there are fewer red blood cells available to transport oxygen.

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Correct Answer is ["B","C","D"]

Explanation

A. Used linens do not need to be disposed of in the trash but should be laundered to prevent contamination.

B. Wearing a mask, gloves, and gown helps protect immunosuppressed clients from potential infections.

C. Restricting visitors who have active infections prevents the spread of infections to the client.

D. Instructing the client to eat only cooked foods reduces the risk of foodborne infections.

E. Limiting bathing is not necessary; in fact, good hygiene practices are essential to prevent infections.

Correct Answer is ["2.5"]

Explanation

To calculate the correct dosage of liquid famotidine, the nurse needs to use the formula: (desired dose / available dose) x available volume. In this case, the desired dose is 20 mg, and the available dose is 40 mg in 5 mL. Using the formula, the calculation would be: (20 mg / 40 mg) x 5 mL = 0.5 x 5 mL = 2.5 mL. Therefore, the nurse should administer 2.5 mL of liquid famotidine every 6 hours to the client with GERD.

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A nurse is caring for a client in the preoperative holding area. Exhibits For each preoperative assessment finding, click to specify if the assessment finding places the client at risk for hypoxemia, bleeding, or a DVT in the intra- op or post-op phases.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is creating a plan of care for an immunosuppressed client. Which of the following precautions should the nurse include in the plan? (Select All that Apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for a client who has GERD. Available is famotidine 40 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2.5"]

Explanation

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A nurse is providing teaching for a client who has gastroesophageal reflux disease (GERD) about ways to manage his condition. Which of the following instructions should the nurse include?

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A nurse is caring for a client in the preoperative holding area.

Exhibits

For each preoperative assessment finding, click to specify if the assessment finding places the client at risk for hypoxemia, bleeding, or a DVT in the intra- op or post-op phases.