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
Muscle weakness is a finding that indicates the client is experiencing water intoxication. Muscle weakness is a symptom of water intoxication because the excessive intake of water dilutes the sodium levels in the blood, causing hyponatremia. Sodium is an electrolyte that helps maintain the balance of fluids in and around cells and also regulates muscle contraction. When sodium levels are too low, the cells swell and the muscles lose their ability to function properly.
Weak pulses are not a specific finding for water intoxication, as they can be caused by other factors such as decreased blood volume or inadequate cardiac output.
Hypernatremia is the opposite of hyponatremia, meaning high sodium levels in the blood. This can occur due to dehydration, excessive salt intake, or certain medical conditions, but not water intoxication.
Exaggerated reflexes are not typically associated with water intoxication. They may be seen in conditions such as hyperreflexia or certain neurological disorders.

Correct Answer is C
Explanation
Baked ham: Baked ham is typically high in saturated fat and sodium, which are not favorable for a heart-healthy diet. Consuming excessive amounts of saturated fat can contribute to high cholesterol levels and increase the risk of coronary artery disease.
Canned potato soup: Canned potato soup often contains high levels of sodium and may also be high in saturated fat, depending on the specific brand and recipe. Excess sodium intake can lead to high blood pressure, which is a risk factor for coronary artery disease. Therefore, canned potato soup is not an ideal choice for a heart-healthy diet.
Broiled salmon: Broiled salmon is an excellent choice for a heart-healthy diet. It is rich in omega-3 fatty acids, which have been shown to have cardiovascular benefits, including reducing the risk of heart disease. Salmon is also a good source of lean protein and contains
less saturated fat compared to red meats. It is recommended to choose broiled or grilled salmon rather than fried or breaded preparations to minimize added fats and oils.
Processed cheese: Processed cheese, such as cheese slices or spreads, tends to be high in saturated fat and sodium. These types of cheeses are not the best choice for a heart-healthy diet. It is better to opt for natural, low-fat cheeses or other dairy alternatives that are lower in saturated fat and sodium.

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