A nurse is planning preoperative care for a client who will undergo surgery. Which of the following is the priority action by the nurse?

Discuss if family members will assist with postoperative care

Determine what the client knows about the surgery

Review the client’s current home environment

Identify the client’s usual coping mechanisms

Answer and Explanation

The Correct Answer is B

Choice A reason: Discussing family assistance for postoperative care is important for discharge planning but not the priority preoperatively. Understanding the client’s knowledge ensures informed consent and addresses immediate educational needs, making this choice secondary.

Choice B reason: Determining the client’s knowledge about the surgery is the priority, as it ensures informed consent, a legal and ethical requirement. It identifies misconceptions, reduces anxiety, and promotes compliance, directly impacting surgical preparation, making this the correct choice.

Choice C reason: Reviewing the home environment is relevant for discharge planning, not preoperative care. It does not address immediate surgical preparation needs like understanding the procedure, making this choice less urgent than assessing knowledge.

Choice D reason: Identifying coping mechanisms supports emotional preparation but is not the priority. Ensuring the client understands the surgery is critical for consent and cooperation, making this choice secondary to assessing their knowledge.

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Correct Answer is B

Explanation

Choice A reason: Hypersomnia is not associated with cocaine intoxication, which causes stimulant effects like hyperarousal and insomnia. Cocaine increases dopamine and norepinephrine, leading to heightened alertness, not excessive sleepiness, making this choice incorrect for the expected findings.

Choice B reason: Cocaine, a sympathomimetic, causes dilated pupils (mydriasis) by stimulating the sympathetic nervous system, increasing norepinephrine release. This activates the dilator pupillae muscle, a hallmark of cocaine intoxication, making this the correct expected finding in the emergency department.

Choice C reason: Nystagmus, involuntary eye movements, is more associated with alcohol or sedative intoxication. Cocaine typically causes pupil dilation and agitation, not nystagmus, making this choice incorrect for the specific neurological effects of cocaine intoxication.

Choice D reason: Depression is a withdrawal symptom of cocaine, not an acute intoxication effect. During intoxication, cocaine causes euphoria and hyperactivity due to dopamine surge, not depressive symptoms, making this choice incorrect for the acute presentation.

A. To warn about serious adverse drug events that can be life-threatening B. To indicate the medication has been recalled C. To highlight the medication’s beneficial effects D. To suggest alternative medications

Correct Answer is A

Explanation

Choice A reason: A black box warning is the FDA’s strongest alert, indicating serious or life-threatening adverse events, such as organ damage or death, based on clinical data. It ensures prescribers and patients are aware of significant risks, making this the correct reason.

Choice B reason: A black box warning does not indicate a medication recall, which is a separate FDA action to remove drugs from the market. Warnings highlight ongoing risks, not withdrawal, making this choice incorrect.

Choice C reason: Black box warnings focus on serious risks, not beneficial effects. Highlighting benefits is part of drug promotion, not regulatory warnings, which aim to protect against harm, making this choice incorrect.

Choice D reason: Black box warnings do not suggest alternative medications but alert about specific risks of the drug. Alternatives may be considered by providers, but this is not the warning’s purpose, making this choice incorrect.

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A nurse is planning preoperative care for a client who will undergo surgery. Which of the following is the priority action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

Which of the following is a primary reason for the FDA to place a black box warning on a medication?

Correct Answer is A

Explanation

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