A nurse is monitoring a patient during the postoperative period following a surgical procedure. Which actions should be included in the plan of care? (Select all that apply.)
Assess and document patient's level of pain.
Administer contrast material.
Administer intravenous fluids as ordered.
Administer antineoplastic agents as ordered.
Administer pain medication as ordered.
Correct Answer : A,C,E
A. Assess and document patient's level of pain: Monitoring and documenting pain is essential for effective pain management and patient comfort.
B. Administer contrast material: Administering contrast material is not typically required in the immediate postoperative period unless specifically ordered for diagnostic imaging.
C. Administer intravenous fluids as ordered: IV fluids are often needed postoperatively to maintain hydration and support recovery.
D. Administer antineoplastic agents as ordered: Antineoplastic agents are used for cancer treatment and are not a standard part of postoperative care unless the patient is undergoing concurrent cancer therapy.
E. Administer pain medication as ordered: Administering pain medication as ordered is crucial for managing postoperative pain and promoting recovery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. Age: Age affects drug metabolism and excretion. Older adults often have slower metabolism and impaired organ function, which can prolong the drug cycle.
B. Whether the drug is a brand or generic drug: The brand or generic status of a drug does not typically influence the drug cycle. The active ingredients are the same, so the cycle duration remains unaffected.
C. Route of administration: The route of administration significantly influences the onset, intensity, and duration of a drug's action. For example, intravenous drugs act faster than oral drugs.
D. Overall health of the patient's organs: The health of organs like the liver and kidneys is crucial because these organs are involved in the metabolism and excretion of drugs. Compromised organ function can lead to a prolonged drug cycle.
Correct Answer is ["A","C","D"]
Explanation
A. Allergy shot: Patients should be observed for at least 15 minutes after receiving an allergy shot because of the risk of anaphylactic reactions, which can be life-threatening if not treated promptly.
B. B12 shot: Observation after a B12 shot is not typically necessary as it is generally well tolerated and does not carry a high risk of immediate allergic reactions.
C. Antibiotics: Some antibiotics, especially when given by injection, can cause allergic reactions, including anaphylaxis. Therefore, it’s prudent to observe the patient for 15 minutes after administration.
D. Immunizations: Like allergy shots, immunizations can sometimes cause allergic reactions or anaphylaxis, so patients are often observed for 15 minutes following administration.
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