A nurse is caring for an older adult client who has just returned from PACU after receiving a spinal anesthetic during knee surgery. For which of the following findings should the nurse notify the provider?

Systolic blood pressure changed from 140 mm Hg to 120 mm Hg

Temperature changed from 37.2° C (99.0° F) to 37.5° C (99.5° F)

Pulse oximetry changed from 98% to 96%

Client reports knee pain, changed from 4/10 to 6/10

Answer and Explanation

The Correct Answer is A

A.   A decrease in systolic blood pressure from 140 mm Hg to 120 mm Hg could indicate hypotension. Postoperatively, especially after receiving a spinal anesthetic, hypotension can occur due to vasodilation or decreased sympathetic tone. This change in blood pressure warrants notification of the provider because significant hypotension can lead to inadequate perfusion to vital organs and tissues.
B.   A slight increase in temperature from 37.2°C to 37.5°C (99.0°F to 99.5°F) is a mild elevation and may not necessarily require immediate notification unless accompanied by other signs of infection or instability. It could be related to the stress response post-surgery. However, if there are other concerning signs (e.g., increased heart rate, worsening pain), the nurse should reassess and consider further action.

C.   A decrease in pulse oximetry from 98% to 96% indicates a mild decrease in oxygen saturation. While this change alone may not be alarming, the nurse should assess the client's respiratory status and potential causes (e.g., positioning, respiratory depression from anesthesia). Oxygen saturation levels below 95% generally require intervention, but 96% is still within a normal range for most clients.
D.   An increase in pain from 4/10 to 6/10 indicates worsening pain. Postoperatively, increasing pain may indicate inadequate pain management, worsening condition at the surgical site, or other complications such as hematoma or infection.

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Correct Answer is A

Explanation

A. Diazepam is a benzodiazepine commonly used in the management of alcohol withdrawal syndrome. Benzodiazepines are effective in reducing symptoms such as anxiety, tremors, agitation, and preventing seizures that can occur during alcohol withdrawal. Diazepam is preferred due to its rapid onset and long duration of action, which helps stabilize the client during withdrawal.

B. Buprenorphine is a partial opioid agonist typically used in the treatment of opioid dependence, not alcohol withdrawal. It is not recommended as a first-line medication for alcohol withdrawal management.
C. Disulfiram is used as an aversive therapy in the treatment of alcohol use disorder. It works by causing unpleasant symptoms (such as nausea, vomiting, palpitations) if the client consumes alcohol. It is not indicated for the treatment of alcohol withdrawal symptoms.
D. Methadone is a synthetic opioid agonist primarily used for the treatment of opioid dependence and chronic pain management. It has no role in the treatment of alcohol withdrawal and is not appropriate for managing symptoms associated with alcohol withdrawal.

Correct Answer is ["5.6"]

Explanation

Convert the weight from pounds to kilograms: 1 kilogram equals 2.2 pounds. The toddler weighs 33 lb, which is approximately 15 kg (33 ÷ 2.2).
The prescribed dose is 30 mg/kg/day, so for a 15 kg toddler, that's 450 mg/day (15 kg × 30 mg/kg).

This total daily dose should be divided into two doses administered every 12 hours, which equals 225 mg per dose (450 mg ÷ 2).

Now, using the concentration of the amoxicillin suspension available, which is 200 mg/5 mL, calculate the volume of suspension needed to deliver a dose of 225 mg.

200 mg/5 mL = 225 mg/x mL, solving for x gives us 5.625 mL.

=Therefore, the nurse should administer 5.6 mL of the amoxicillin suspension every 12 hours to the toddler.

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A nurse is caring for an older adult client who has just returned from PACU after receiving a spinal anesthetic during knee surgery. For which of the following findings should the nurse notify the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is exhibiting signs of alcohol withdrawal. Which of the following medications should the nurse plan to administer?

Correct Answer is A

Explanation

Correct Answer is ["5.6"]

Explanation

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