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 C

Explanation

A. While setting goals is important, simply stating this without providing practical strategies may not address the client's specific challenges with weight loss.
B. Eating small portions of high-calorie foods first may not be an effective weight loss strategy, as it does not address overall caloric intake or food choices.
C. Self-monitoring eating behaviors, such as keeping a food diary or tracking portion sizes, can help individuals become more aware of their eating habits and identify areas for improvement when trying to lose weight.
D. Tasting food while cooking may not necessarily curb appetite and could potentially lead to increased calorie consumption if the individual ends up eating more during meal preparation.

A. "I have been taking 500 micrograms per day of vitamin A supplement." B. "I have included fortified milk, fatty fish, and cheese into my diet each day." C. "I take an 800-milligram calcium supplement with my breakfast every day." D. “I increased my intake of orange juice. lean meats, and egg whites."

Correct Answer is B

Explanation

Choice A Rationale: Vitamin A is essential for healthy skin, hair, nails, and bones, and acts as an antioxidant. However, excessive amounts can be harmful and even modest doses previously considered safe can increase the risk of fracture.
Choice B Rationale: Fortified milk, fatty fish, and cheese are rich in calcium and vitamin D, which are crucial for bone health. Calcium is necessary for bone strength, while vitamin D is required for calcium absorption in the body.
Choice C Rationale: While a calcium supplement can help maintain bone density and reduce the risk of fractures, it is generally recommended to get calcium from dietary sources for better absorption and additional nutrients.
Choice D Rationale: Orange juice, lean meats, and egg whites can contribute to overall health, but they do not directly address bone health as effectively as options rich in calcium and vitamin D. Orange juice can be beneficial if fortified, but lean meats and egg whites are not primary sources of calcium or vitamin D.

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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

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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