A patient is scheduled for surgery at 1:00 PM today. The nurse knows that surgery will most likely need to be rescheduled when the patient states...

I am nervous about taking care of my incision at home

"I had a lot of nausea and vomiting after my last surgery."

"I just took an extra dose of Aspirin to help with the pain."

I don't like hospital food, so I had a big delicious lunch yesterday!

Answer and Explanation

The Correct Answer is C

Taking an extra dose of Aspirin prior to surgery can significantly increase the risk of bleeding during and after the surgical procedure. Aspirin is a non-steroidal anti-inflammatory drug (NSAID) that can interfere with the normal blood clotting process. Surgical procedures often require meticulous control of bleeding, and the presence of Aspirin in the patient's system can pose a significant risk.

It is essential for patients to follow preoperative instructions provided by the healthcare team, including avoiding certain medications or substances that can increase the risk of complications during surgery. Taking an extra dose of Aspirin, especially without consulting the healthcare provider, can jeopardize the safety of the surgical procedure and may require rescheduling to ensure the patient's well-being.

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Correct Answer is C

Explanation

Prednisone is a corticosteroid medication that can increase blood glucose levels by promoting gluconeogenesis (the production of glucose from non-carbohydrate sources) and reducing glucose utilization in the body. This can lead to elevated blood sugar levels, especially in individuals with diabetes. The client's history of urinary tract infection and the use of Prednisone suggest that the infection might have triggered the development of DKA.

It's important to note that DKA can occur even when a person is taking insulin as prescribed and following their diet carefully if other factors contribute to the development of DKA, such as an underlying infection or the use of certain medications like Prednisone. The nurse should further assess the client's condition and notify the healthcare provider to initiate appropriate management for DKA.

A. "Have additional receptors in the colon that prevents transfer of the disease to others” B. "Do not have blood pressures within normal limits when the small bowel encounters salt products." C. "Have an increased risk of aspiration with the additional mucus produced in the small bowel” D. "Do not have proper absorption of nutrients when the small bowel encounters the protein gluten.”

Correct Answer is D

Explanation

Celiac disease is an autoimmune disorder characterized by an abnormal immune response to gluten, a protein found in wheat, barley, and rye. When individuals with celiac disease consume gluten, their immune system reacts by damaging the lining of the small intestine, specifically the villi. The damaged villi are unable to effectively absorb nutrients from food, leading to malabsorption and a variety of symptoms.

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A patient is scheduled for surgery at 1:00 PM today. The nurse knows that surgery will most likely need to be rescheduled when the patient states...

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted with Diabetic Ketoacidosis (DKA). The client asks the nurse "Why did this happen? I have been taking my insulin as prescribed and following my diet carefully" The nurse reviews the client's chart and realizes that this emergency may be related to which common causes of DKA?

Correct Answer is C

Explanation

A student nurse correctly explains the pathophysiology of celiac when it is stated that patients who have celiac disease:

Correct Answer is D

Explanation

The nurse is caring for an adolescent diagnosed with scoliosis who just arrived to the floor from the recovery room after a Spinal fusion surgery. The nurse should question which physician order?

An older adult client fell while getting out of bed. Which assessment finding indicates a possible hip fracture?

Which assessment findings will the nurse anticipate in the client with cholelithiasis?

An appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler is to:

A patient is receiving a 3% saline continuous IV infusion for hyponatremia. Which assessment data represents an adverse outcome (side effect) of this infusion?

What is one airway complication that can occur during surgery when the patient is receiving general anesthesia care?

A patient with sepsis has a BP of 70/46 mm Hg, pulse of 136 beats/min, respirations of 32 breaths/min, temperature of 104°F, and blood glucose of 245 mg/dL. Which intervention ordered by the health care provider should the nurse implement first?

A client had surgery yesterday and is reporting abdominal discomfort and lack of appetite. The nurse auscultates the abdomen and does not detect bowel sounds. The nurse suspected which type of bowel obstruction?