A nurse is collecting data from a client who is 8 hours postoperative following abdominal surgery. The client's blood pressure is 94/56 mm Hg. Which of the following actions should the nurse take first?
Increase the IV flow rate
Reassure the client
Compare the reading to the preoperative value
Cover the client with a warm blanket
The Correct Answer is C
Choice A reason: Increasing the IV flow rate may be necessary if the blood pressure is significantly lower than the preoperative value and there are signs of hypovolemia.
Choice B reason: Reassuring the client is important, but it should not be the first action before assessing the clinical significance of the blood pressure reading.
Choice C reason: Comparing the current blood pressure with the preoperative value helps determine the next steps in management and whether the change is within expected limits.
Choice D reason: Covering the client with a warm blanket may be appropriate if the client is feeling cold, but it is not the first action to take in response to the blood pressure reading.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Furosemide is a diuretic and does not typically cause red orange urine.
Choice B reason: Rifampin, an antibiotic commonly used to treat tuberculosis, can cause red orange discoloration of bodily fluids, including urine.
Choice C reason: Isoniazid, another medication used for tuberculosis, does not typically cause red orange urine discoloration.
Choice D reason: Metoprolol is a betablocker used to treat high blood pressure and does not usually change the color of urine.
Correct Answer is D
Explanation
Choice A reason: Increasing milk consumption does not necessarily make the urine more alkaline or prevent UTIs.
Choice B reason: Emptying the bladder at least every 6 hours is good practice, but it is more important to urinate frequently and when the urge arises.
Choice C reason: Using a vaginal douche is not recommended as it can disrupt the natural flora and increase the risk of UTIs.
Choice D reason: Urinating before and after sexual intercourse helps flush out any bacteria that may have been introduced to the urethra, reducing the risk of UTIs.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.