A nurse is caring for several clients in the post-operative unit. Which client should the nurse see first?

Client with oxygen saturation of 8996

Client with a blood pressure of 8.8/58 mm Hg

Client with temperature of 102 F

Client with respiratory rate of 12 breaths/min

Answer and Explanation

The Correct Answer is A

A. An oxygen saturation of 89% indicates hypoxemia, which poses an immediate threat to oxygenation and requires urgent intervention.

B. Hypotension is concerning but less critical than hypoxemia in this scenario.

C. A fever of 102°F requires monitoring and management but is not an immediate life threat.

D. A respiratory rate of 12 breaths/min is normal for an adult and does not require immediate action.

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Correct Answer is A

Explanation

A. PCA pumps allow clients to self-administer pain medication within prescribed limits when experiencing pain.

B. Doses are controlled by a lockout mechanism to prevent overdosing.

C. PCA pumps deliver medication as needed, not a continuous infusion unless programmed otherwise.

D. The client independently determines when to use the PCA within prescribed parameters.

A. "Peristalsis stops with anesthesia which may cause a blockage." B. "This practice will decrease the risk of aspiration." C. "This will help to safely maintain fluid and electrolyte balance." D. "This practice will decrease the need for a Foley catheter."

Correct Answer is B

Explanation

A. Peristalsis slows but does not stop entirely with anesthesia, and this explanation is incorrect.

B. Fasting reduces the risk of aspiration by minimizing stomach contents during anesthesia, which is the primary concern.

C. Maintaining fluid and electrolyte balance is important but not the main reason for fasting.

D. Reducing the need for a Foley catheter is unrelated to NPO status.

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A nurse is caring for several clients in the post-operative unit. Which client should the nurse see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client on patient-controlled analgesia (PCA) pump. Which statement made by the client is correct?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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The nurse is caring for a client who reports experiencing oral itching and swelling after consuming bananas and kiwis. Which allergy should the nurse suspect the client is at risk for?

A nurse is caring for several clients in the post-operative unit. Which client should the nurse see first?

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