A post-operative patient is at risk for developing a wound infection. Which of the following nursing assessments is the highest priority to prevent this complication?

Monitoring the patient's vital signs

Assessing the patient's pain level

Inspecting the surgical incision site for redness, swelling

Assessing the patient's fluid intake and output

Answer and Explanation

The Correct Answer is C

A.   While important for overall patient assessment, it's not the most direct way to monitor for a wound infection.
B.   Pain can indicate a wound infection, but it's not as specific as directly inspecting the wound.
C.   This is the most direct way to assess for early signs of a wound infection. Redness, swelling, warmth, and drainage are classic signs of infection.
D.   Important for overall patient care, but not specifically related to wound infection prevention.

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Correct Answer is ["675"]

Explanation

1 kilogram is approximately 2.2 pounds.

The client weighs 198 pounds, which is equivalent to about 90 kilograms (198 lb / 2.2).

Next, multiply the client's weight in kilograms by the dosage prescribed, which is 15 mg/kg/day. This results in a total daily dosage of 1350 mg (90 kg * 15 mg/kg). Since the medication is to be administered every 12 hours, divide the total daily dosage by 2 to get the amount for each dose. Therefore, the nurse should administer 675 mg every 12 hours.

A. Explain the risks and benefits of the procedure. B. Tell the client about alternatives to having the surgery. C. Make sure the surgeon obtained the client's consent D. Describe the consequences of choosing not to have the surgery. E. Witness the client's signature on the consent form.

Correct Answer is ["C","E"]

Explanation

A. Explaining the risks and benefits of the procedure is generally the responsibility of the surgeon or the healthcare provider who will perform the procedure. They are in the best position to provide detailed and specific information about the procedure, including potential complications and benefits.
B. Similar to explaining the risks and benefits, discussing alternatives is usually done by the surgeon or the provider. The nurse should ensure that the client is aware that alternatives are available and that this information has been provided by the appropriate medical professional.
C. It is the responsibility of the surgeon or the healthcare provider to obtain informed consent. However, the nurse should confirm that the consent process has been completed. This means ensuring that the consent form is signed and that the client has been properly informed. While the nurse does not obtain consent, they verify that it has been done correctly.
D. Describing the consequences of not undergoing the surgery is part of the informed consent process and is generally the responsibility of the surgeon. The nurse should ensure that this information has been communicated to the client by the appropriate provider.
E. The nurse often acts as a witness to the client’s signature on the consent form. This involves confirming that the client has signed the form voluntarily and after being fully informed. The nurse’s role in this process is to ensure the proper documentation and verification that the consent has been given.

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A post-operative patient is at risk for developing a wound infection. Which of the following nursing assessments is the highest priority to prevent this complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["675"]

Explanation

A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent? (Select All that Apply.)

Correct Answer is ["C","E"]

Explanation

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