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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. "In some types, HPV will go away on its own and does not cause health issues.": This is
important information to include as it reassures individuals that not all HPV infections lead to health problems.
B. "Some forms of HPV can lead to cervical cancer.": It is crucial to educate young adults about the link between certain types of HPV and the development of cervical cancer.
C. "HPV is most commonly spread during vaginal or anal sexual contact.": Providing information about how HPV is transmitted helps individuals understand how to reduce their risk of infection.
D. "You cannot get HPV if you have had only 1 sex partner.": This statement is HPV can be transmitted through sexual contact, including with only one sexual partner.
E. "There are no vaccinations or treatments available against HPV and its symptoms.": This statement is There are vaccinations available to protect against certain types of HPV, and treatments are available for HPV-related health issues such as genital warts and cervical abnormalities.
Correct Answer is D
Explanation
A. Total protein level. Total protein level does not directly indicate bone marrow suppression.
B. Serum potassium level. Serum potassium level reflects electrolyte balance but is not specific for bone marrow suppression.
C. Erythrocyte sedimentation rate (ESR). ESR can indicate inflammation but is not a reliable indicator of bone marrow suppression.
D. Platelet count. Platelet count is a reliable indicator of bone marrow suppression because chemotherapy can significantly reduce platelet production, leading to thrombocytopenia.
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