A nurse is caring for a client who arrived at the post anesthesia care unit (PACU) following a right knee arthroscopy. The client is not yet responding to verbal stimuli. Which of the following actions should the nurse perform first?

Place the patient in a lateral position.

Apply a warm blanket.

Compare and contrast peripheral pulses.

Assess their dressings.

Answer and Explanation

The Correct Answer is A

Choice A reason:

Placing the patient in a lateral position (recovery position) is critical to maintain an open airway and prevent aspiration, especially in a client who is not responding to verbal stimuli. This position helps ensure that the airway remains clear and reduces the risk of aspiration if the client vomits.

Choice B reason:

Applying a warm blanket is important for maintaining the client’s body temperature but is not the immediate priority when the client is unresponsive. Ensuring airway patency takes precedence.

Choice C reason:

Comparing and contrasting peripheral pulses is part of the assessment process but is not the first priority. Ensuring the client's airway and breathing are secure is more urgent.

Choice D reason:

Assessing dressings is necessary to monitor for bleeding or other complications but is not as immediate as ensuring the client’s airway is clear and protected.

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Correct Answer is ["50"]

Explanation

Step 1: Determine the amount of medication prescribed.
The client is prescribed 250 mg of phenytoin.

Step 2: Identify the concentration of the solution available.
The concentration is 25 mg per 5 mL.

Step 3: Calculate how many milligrams are in 1 mL of the solution.
25 ÷ 5 = 5 mg per 1 mL.

Step 4: Determine how many mL are needed to administer 250 mg.
250 ÷ 5 = 50 mL.

A. Esophageal reflux B. Eating hot and spicy food C. Frequent episodes of vomiting D. Esophageal polyps

Correct Answer is A

Explanation

Choice A reason:

Esophageal reflux, or gastroesophageal reflux disease (GERD), can lead to Barrett's esophagus if left untreated. Chronic acid exposure from GERD causes changes in the esophageal lining, increasing the risk of developing Barrett's esophagus, a precancerous condition requiring monitoring and management.

Choice B reason:

Eating hot and spicy food may exacerbate symptoms of GERD but is not a direct cause of Barrett's esophagus. It can irritate the esophageal lining temporarily but does not lead to the cellular changes associated with Barrett's esophagus.

Choice C reason:

Frequent episodes of vomiting can damage the esophagus and lead to other complications but are not specifically linked to the development of Barrett's esophagus. The primary cause is chronic acid reflux rather than mechanical or chemical irritation from vomiting.

Choice D reason:

Esophageal polyps are growths that can occur in the esophagus but are not related to Barrett's esophagus. Barrett's esophagus results from prolonged acid exposure and cellular changes, whereas polyps are distinct growths that may require different monitoring and management strategies.

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A nurse is caring for a client who arrived at the post anesthesia care unit (PACU) following a right knee arthroscopy. The client is not yet responding to verbal stimuli. Which of the following actions should the nurse perform first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["50"]

Explanation

The nurse should be aware that Barrett's esophagus is a complication from what medical condition if left untreated?

Correct Answer is A

Explanation

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