A nurse is caring for four postoperative patients who each had a total abdominal hysterectomy. Which patient would the nurse assess first upon initial rounding?
Patient who has pain of "4" on a scale of 0 to 10
Patient with a temperature of 99° F (37.2° C) and blood pressure of 115/73 mm Hg
Patient with a urinary catheter output of 150 mL in the last 3 hours
Patient who has had two saturated perineal pads in the last 2 hours
The Correct Answer is D
A. Pain level of "4" on a scale of 0 to 10 indicates mild pain and may not require immediate attention compared to other potential issues.
B. Vital signs within normal range, including temperature and blood pressure, do not indicate an urgent need for assessment.
C. Urinary catheter output of 150 mL in the last 3 hours is within the expected range postoperatively and does not require immediate assessment.
D. Saturated perineal pads suggest excessive bleeding, which could indicate a potential complication such as hemorrhage. Therefore, the nurse should assess this patient first to ensure prompt intervention if necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Prostate specific antigen: This test is used to screen for prostate cancer, not for diagnosing syphilis.
B. Enzyme-linked immunosorbent assay (ELISA): While ELISA can be used to detect antibodies for various infections, it is not the first-line test for syphilis.
C. Venereal disease research laboratory (VDRL): The VDRL test is commonly used to screen for syphilis, especially in the presence of a genital chancre.
D. Western blot test: This test is more commonly used to confirm HIV infection, not for initial syphilis screening.
Correct Answer is ["A","B","C","E","F"]
Explanation
A. Family history of prostate cancer is a known risk factor, as the disease can be more common in those with a relative who has had prostate cancer.
B. Race is a significant factor; African American men and Caribbean men of African ancestry have a higher incidence of prostate cancer.
C. Obesity has been linked to an increased risk of developing more aggressive forms of prostate cancer.
D. Smoking, while a risk factor for many cancers, is not as strongly linked to prostate cancer as the other factors listed here.
E. Advanced age is a major risk factor since the probability of developing prostate cancer increases significantly after the age of 50.
F. Consuming a large amount of red meat has been associated with an increased risk of prostate cancer.
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