A nurse on a medical unit is admitting a client.

Exhibits

Select the 5 prescriptions the nurse should anticipate from the provider.

Chest x-ray

Basic metabolic profile (BMP)

12-lead ECG

Doppler studies of lower extremities

Brain natriuretic peptide (BNP) level

Echocardiogram

Answer and Explanation

Correct Answer : A,B,C,E,F

A.   Chest x-ray: Essential for visualizing the heart and lungs, which is critical in a patient with symptoms of heart failure and respiratory issues.
B.   Basic metabolic profile (BMP): Important to assess electrolytes, renal function, and glucose levels, especially given the patient's history of diabetes and hypertension.
C.   12-lead ECG: Necessary for evaluating heart rhythm, rate, and to look for any ischemic changes, especially since the patient is experiencing tachycardia.
D.   Doppler studies of lower extremities: While useful for assessing peripheral vascular disease, it is not as immediately relevant as the other tests for a direct diagnosis of heart failure.

E.   Brain natriuretic peptide (BNP) level: A key diagnostic test for heart failure as elevated levels are indicative of cardiac stress.
F.   Echocardiogram: Provides critical information on heart function and structure, which is essential for diagnosing and managing heart failure.

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Correct Answer is A

Explanation

A. "I will take a stool softener to prevent constipation." This is correct. Postoperative clients, especially those who are on opioid medications for pain management, are at risk for constipation. Taking a stool softener is a good strategy to prevent this complication after surgery.

B. "I will ask to work the night shift, so I will not be driving in bright sunlight." This is incorrect. Following laser surgery for open-angle glaucoma, clients are typically advised to avoid bright lights and glare, but there is no need to change work schedules. The focus should be on wearing protective sunglasses to shield the eyes from sunlight and glare, not on avoiding daytime work hours.

C. "I will need to use my eye drops for 1 year." This is incorrect. While eye drops may be prescribed to manage intraocular pressure, the duration of use will depend on the specific medication and the client's condition. It is not typically necessary to use them for an entire year after laser surgery, and the client should follow the provider's instructions for tapering or stopping the medication as indicated.

D. "I will need to follow a low-protein diet." This is incorrect. There is no specific dietary restriction for a low-protein diet following laser surgery for open-angle glaucoma. The client should follow a balanced diet as recommended by the healthcare provider.

A. Flexes the client's affected hip to 120 B. Adducts the client's affected leg C. Checks the neurovascular status of the client's lower extremities every 6 hr D. Applies a sequential compression device to the client's lower extremities

Correct Answer is C

Explanation

-A. Incorrect. Flexing the client's affected hip to 120 degrees may be part of postoperative care but does not necessarily demonstrate cost-effective care.
B. Incorrect. Adducting the client's affected leg may be part of postoperative care but does not necessarily demonstrate cost-effective care.
C. Correct. Checking the neurovascular status of the client's lower extremities every 6 hours is a standard nursing intervention following total hip arthroplasty. This action is essential for monitoring the client's circulation and nerve function, ensuring early detection of complications such as deep vein thrombosis or nerve damage, which can help prevent further complications and reduce healthcare costs.
D. Incorrect. Applying a sequential compression device to the client's lower extremities may be part of postoperative care to prevent deep vein thrombosis but does not necessarily demonstrate cost-effective care.

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A nurse on a medical unit is admitting a client. Exhibits Select the 5 prescriptions the nurse should anticipate from the provider.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching with a client who is postoperative following laser surgery for open-angle glaucoma. Which of the following statements by the client indicates an understanding of the Instructions?

Correct Answer is A

Explanation

A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following actions by the nurse demonstrates cost-effective care?

Correct Answer is C

Explanation

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A nurse on a medical unit is admitting a client.

Exhibits

Select the 5 prescriptions the nurse should anticipate from the provider.