One hour after major abdominal surgery, a client in the postanesthesia care unit (PACU) has a blood pressure (BP) of 136/80 mm Hg. Fifteen minutes later, it is 114/72 mm Hg. Which action should the nurse take first?

Increase frequency of BP assessments.

Encourage the client to breathe deeply.

Check the abdominal surgical dressing.

Review the client's baseline BP trends.

Answer and Explanation

The Correct Answer is C

Choice A reason: Increasing the frequency of BP assessments is important to monitor the client's condition, but it does not address the potential cause of the drop in blood pressure.

Choice B reason: Encouraging the client to breathe deeply is useful for overall respiratory function but does not address the specific issue of the dropping blood pressure.

Choice C reason:

The correct answer is c) because checking the abdominal surgical dressing can help identify if there is postoperative bleeding or other complications at the surgical site, which could be causing the drop in blood pressure.

Choice D reason: Reviewing the client's baseline BP trends provides useful information but does not address the immediate potential cause of the blood pressure change.

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Correct Answer is D

Explanation

Choice A reason: Monthly appointments with a dietitian are important for overall management but do not directly address lowering blood glucose and increasing HDL levels.

Choice B reason: Monitoring blood glucose levels daily is crucial for diabetes management but does not directly impact HDL levels.

Choice C reason: Limiting calories on days unable to exercise may help with weight management but is not the most effective way to improve blood glucose and HDL levels.

Choice D reason:

The correct answer is d) because regular exercise, with medical approval, helps lower blood glucose levels and increase HDL levels, improving overall health outcomes for clients with type 2 diabetes.

Correct Answer is ["2"]

Explanation

Calculation steps:

Step 1: Identify the dosage required. 20 mg

Step 2: Identify the concentration available. 10 mg/mL

Step 3: Calculate the volume to be administered. 20 mg ÷ 10 mg/mL

Result: 2 mL

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One hour after major abdominal surgery, a client in the postanesthesia care unit (PACU) has a blood pressure (BP) of 136/80 mm Hg. Fifteen minutes later, it is 114/72 mm Hg. Which action should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is developing a plan of care for a client with type 2 diabetes mellitus (DM). When providing teaching on lowering blood glucose levels and increasing serum high-density lipoprotein (HDL) levels, which instruction should the nurse include?

Correct Answer is D

Explanation

A client with edema receives a prescription for a one-time dose of furosemide 20 mg IV. The medication is available in a 10 mg/mL vial. How many mL should the nurse administer? (Enter numerical value only.)

Correct Answer is ["2"]

Explanation

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