A nurse is reviewing the medication administration record for a client who is 2 days postoperative following abdominal surgery. The nurse should recognize which of the following medications places the client at risk for wound dehiscence?
Omeprazole
Zolmitriptan
Prednisone
Verapamil
The Correct Answer is C
Prednisone is a corticosteroid medication that is commonly prescribed for various conditions due to its anti-inflammatory and immunosuppressive effects. However, corticosteroids can impair wound healing by reducing the body's inflammatory response, delaying collagen synthesis, and weakening the tensile strength of the wound. This increases the risk of wound dehiscence, which is the separation or opening of surgical incisions.
Omeprazole is a proton pump inhibitor used to reduce stomach acid production and prevent gastric ulcers but does not directly affect wound healing or increase the risk of wound dehiscence.
Zolmitriptan is a medication used for the acute treatment of migraines and does not directly affect wound healing or increase the risk of wound dehiscence.
Verapamil is a calcium channel blocker used to treat high blood pressure and certain heart conditions. It does not directly affect wound healing or increase the risk of wound dehiscence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A level 1 dysphagia diet, also known as a pureed diet, is recommended for individuals with severe swallowing difficulties. It involves pureeing or blending all foods to a smooth consistency to facilitate swallowing and prevent choking.
● Chicken noodle soup: This option typically contains solid ingredients such as chicken, noodles, and vegetables, which are not suitable for a level 1 dysphagia diet. The client may have difficulty swallowing these solid components.
● Apple juice: Liquids, including apple juice, are generally not included in a level 1 dysphagia diet as they require minimal swallowing effort. However, it is essential to consult a speech-language pathologist or dysphagia specialist regarding the client's specific liquid consistency recommendations.
● Pudding: Pudding is an ideal choice for a level 1 dysphagia diet as it can be easily pureed to a smooth consistency that is safe for swallowing. It provides a creamy and soft texture that is easier for individuals with dysphagia to manage.
● Milk: Milk is not typically recommended for a level 1 dysphagia diet as it is a liquid and requires minimal swallowing effort. Similar to apple juice, specific liquid consistency recommendations should be sought from a dysphagia specialist.
Correct Answer is C
Explanation
A lacto-vegetarian diet is a type of vegetarianism that excludes meat, poultry, seafood, and eggs, but includes dairy products, such as milk, cheese, and yogurt. Therefore, the foods that the nurse should include in the meals for a client who follows a lacto-vegetarian diet are cheese and yogurt.
Shrimp and hamburger are not suitable for a lacto-vegetarian diet because they are animal flesh.
Eggs are also not allowed because they are animal products.
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