Exhibits

Which of the following actions should the nurse assist with? (Click on the exhibit tabs for additional information about the client.)

Start the prescribed antibiotic

Discontinue nasogastric tube

Reinforce preoperative teaching

Provide the client with ice chips

Answer and Explanation

The Correct Answer is C

A. Start the prescribed antibiotic: There is no indication of infection in the current clinical findings; antibiotics are typically used to treat bacterial infections, which are not yet evident.
B. Discontinue nasogastric tube: The nasogastric tube should remain in place as it helps relieve the symptoms of small bowel obstruction (e.g., vomiting and bloating).
C. Reinforce preoperative teaching: The client is on NPO status, which may suggest preparation for a surgical intervention to address the obstruction. Reinforcing preoperative teaching would be beneficial to ensure the client understands the procedure.
D. Provide the client with ice chips: The client is on NPO status, and consuming food or fluids is contraindicated due to the potential for aspiration or worsening of the condition (e.g., bowel obstruction or pancreatitis).

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Correct Answer is A

Explanation

A. Ginkgo biloba: Ginkgo biloba increases the risk of bleeding when taken with anticoagulants like enoxaparin, as it inhibits platelet aggregation.
B. Flaxseed powder: While flaxseed may have mild anticoagulant properties, it is less likely to pose a significant risk compared to ginkgo biloba.
C. Probiotics: Probiotics do not interact with anticoagulants or increase bleeding risk.
D. Echinacea: Echinacea is primarily used to boost immunity and does not increase bleeding risk.

A. Aspartate aminotransferase 34 units/L (0 to 34 units/L) B. Ammonia 55 mcg/dL (10 to 80 mcg/dL) C. Platelets 60,000/mm3 (150,000 to 400,000/mm3) D. Bilirubin 1.0 mg/dL (0.3 to 1.0 mg/dL)

Correct Answer is C

Explanation

A. Aspartate aminotransferase (AST) 34 units/L (0 to 34 units/L): This is within the normal range and does not contraindicate a biopsy.
B. Ammonia 55 mcg/dL (10 to 80 mcg/dL): This is within the normal range and does not directly impact the safety of a biopsy.
C. Platelets 60,000/mm3 (150,000 to 400,000/mm3): A low platelet count increases the risk of bleeding during a liver biopsy, as platelets are critical for clotting. This value should be reported before the procedure.
D. Bilirubin 1.0 mg/dL (0.3 to 1.0 mg/dL): This is at the upper limit of normal and does not necessitate reporting in the context of a liver biopsy.

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Exhibits Which of the following actions should the nurse assist with? (Click on the exhibit tabs for additional information about the client.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Exhibits Which of the following actions should the nurse assist with? (Click on the exhibit tabs for additional information about the client.)

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Exhibits

Which of the following actions should the nurse assist with? (Click on the exhibit tabs for additional information about the client.)