An older adult patient has had a series of enemas in preparation for a gastrointestinal diagnostic procedure. Which electrolytes should be monitored following the enemas?

Sodium and potassium

Selenium and zinc

Magnesium and phosphorus

Calcium and chloride

Answer and Explanation

The Correct Answer is A

A. Sodium and potassium: Frequent enemas can lead to electrolyte imbalances, particularly sodium and potassium depletion, due to fluid loss and altered intestinal absorption.

B. Selenium and zinc: These are trace elements, not commonly affected by enemas.

C. Magnesium and phosphorus: While imbalances in these electrolytes can occur in other conditions, enemas are more likely to impact sodium and potassium.

D. Calcium and chloride: Although chloride may be affected in severe cases, sodium and potassium are more routinely monitored following fluid and electrolyte disturbances caused by enemas.

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Correct Answer is ["A","D","E"]

Explanation

A. Time vital signs ceased. Documenting the time at which vital signs ceased is important for medical and legal documentation. This helps establish the timeline of events leading to death and can be relevant for determining the official time of death.

B. Results of the autopsy. While an autopsy may provide valuable information, it is not typically documented at the time of death unless available. Autopsy results are generally included later after they are completed, not immediately after death.

C. Why the patient died. While the cause of death is often determined, it is generally not the nurse's role to speculate or document the reason for death in the medical record at the time of death. It is more appropriate for the physician or coroner to document the cause.

D. Official time of death. The official time of death should be documented as this is critical for legal, medical, and procedural purposes. It is typically recorded when the attending physician or another authorized individual pronounces the death.

E. Who pronounced the patient. It is necessary to document who pronounced the patient deceased to ensure that the pronouncement of death is legally recognized. This is part of standard medical documentation and ensures proper identification of the responsible party.

A. A catheter is inserted into a vein or artery and is threaded into the heart. B. No consent is needed for the procedure. C. The patient may go home 1 hour after the procedure. D. Nothing by mouth should be administered for at least 12 hours prior to the procedure.

Correct Answer is A

Explanation

A. "A catheter is inserted into a vein or artery and is threaded into the heart." This accurately describes the procedure, which involves threading a catheter to evaluate heart function and diagnose conditions.

B. "No consent is needed for the procedure.": Cardiac catheterization is an invasive procedure, and informed consent is always required.

C. "The patient may go home 1 hour after the procedure.": Patients are usually observed for several hours to ensure there are no complications.

D. "Nothing by mouth should be administered for at least 12 hours prior to the procedure.": NPO status is generally 6–8 hours before the procedure, not 12 hours.

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An older adult patient has had a series of enemas in preparation for a gastrointestinal diagnostic procedure. Which electrolytes should be monitored following the enemas?

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Naxlex Comprehensive Predictor Exams

A patient dies after suffering a severe cerebrovascular accident (CVA). The family members are informed of his demise and are at the bedside. What documentation should be noted in the patient's medical record? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

A nurse is giving instructions to a patient who will have a cardiac catheterization. What should the nurse include in the teaching?

Correct Answer is A

Explanation

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