A nurse is reviewing the medication administration record for a client who is 2 days postoperative following abdominal surgery. The nurse should recognize that which of the following medications places the client at risk for wound dehiscence?

Omeprazole

Prednisone

Zolmitriptan

Verapamil

Answer and Explanation

The Correct Answer is B

A.   Omeprazole is a proton pump inhibitor used to reduce stomach acid and treat conditions such as ulcers and gastroesophageal reflux disease. It is not typically associated with an increased risk of wound dehiscence.
B.   Prednisone is a corticosteroid that can impair wound healing and increase the risk of wound dehiscence, particularly in high doses or when used for prolonged periods.

C.   Zolmitriptan is a medication used to treat migraine headaches and is not associated with an increased risk of wound dehiscence.
D.   Verapamil is a calcium channel blocker used to treat hypertension and certain heart rhythm disorders. It is not typically associated with an increased risk of wound dehiscence.

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Correct Answer is ["1680"]

Explanation

We'll use milliliters (mL) as the standard unit. There are approximately 30 mL in 1 ounce.

The client's intake from the coffee, beef broth, gelatin, and water is 8 oz + 8 oz + 6 oz + 24 oz, which equals 46 oz.

Converting ounces to milliliters, we get: 46 oz * 30 mL/oz = 1380 mL.

Adding the IV fluids, the total intake is 300 mL + 1380 mL = 1680 mL. The client's total intake is 1680 mL.

A. "Increase your caloric intake before pregnancy to stabilize your metabolism." B. "Increase folic acid to 400 micrograms per day prior to getting pregnant." C. "Increase your total intake of seafood to 20 ounces per week." D. "Decrease ascorbic acid in your diet."

Correct Answer is B

Explanation

A. Increasing caloric intake before pregnancy without specific guidance can lead to unnecessary weight gain. It's essential for individuals to maintain a healthy weight before pregnancy, but there's no need to deliberately increase caloric intake.

B. Increasing folic acid intake to 400 micrograms per day prior to pregnancy is recommended to help prevent neural tube defects in the developing fetus. This is a crucial dietary guideline for women who are planning to become pregnant.

C. While seafood can be a source of important nutrients such as omega-3 fatty acids, consuming excessive amounts may expose the client to potential contaminants such as mercury. It's recommended to consume seafood in moderation and choose low-mercury options.
D. Ascorbic acid, or vitamin C, is important for overall health and is not typically restricted in the diet unless medically necessary. There's no need to decrease ascorbic acid intake in preparation for pregnancy.

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A nurse is reviewing the medication administration record for a client who is 2 days postoperative following abdominal surgery. The nurse should recognize that which of the following medications places the client at risk for wound dehiscence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1680"]

Explanation

A nurse is caring for a young adult client who is discontinuing birth control pills and wishes to start a family. Which of the following statements by the nurse is an appropriate dietary guideline?

Correct Answer is B

Explanation

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