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Patient Data

Exhibits

Click to highlight the findings that indicate the client is stable for discharge.

The client has rested well throughout the night with a continuous positive airway pressure (CPAP) device in place. Sequential devices are in place for venous thromboembolism prevention. The client ambulated 100 yards (91 meters) last night and 200 yards (183 meters) this morning. She reports pain rating of 2 on 0 to 10 scale, located in the abdomen, described as aching. She has tolerated fluids throughout the night with no nausea or vomiting.

Assessment findings

Neurological Alert and oriented times 4.

Cardiovascular WNL.

Respiratory WNL.

Gastrointestinal/Genitourinary Voided twice throughout night, urine clear amber in appearance. Reports no dysuria. No bowel movement but the client is passing gas.

Integumentary 4 abdominal incisions from laparoscopic procedure sealed with surgical glue. No drainage, redness, or edema present.

Musculoskeletal Reported chronic knee pain. 5+ strength in bilateral upper extremities, 5+ strength in bilateral lower extremities.

The client ambulated 100 yards (91 meters) last night and 200 yards (183 meters) this morning

She has tolerated fluids throughout the night with no nausea or vomiting

Alert and oriented times 4

Voided twice throughout night, urine clear amber in appearance

Musculoskeletal Reported chronic knee pain

No bowel movement but the client is passing gas

Sequential devices are in place for venous thromboembolism

4 abdominal incisions from laparoscopic procedure sealed with surgical glue

Answer and Explanation

The Correct Answer is ["A","B","C","D"]

The client has rested well throughout the night with a continuous positive airway pressure (CPAP) device in place. Sequential devices are in place for venous thromboembolism prevention. The client ambulated 100 yards (91 meters) last night and 200 yards (183 meters) this morning. She reports pain rating of 2 on 0 to 10 scale, located in the abdomen, described as aching. She has tolerated fluids throughout the night with no nausea or vomiting.

Assessment findings

Neurological Alert and oriented times 4.
Cardiovascular WNL.
Respiratory WNL.
Gastrointestinal/Genitourinary Voided twice throughout night, urine clear amber in appearance. Reports no dysuria. No bowel movement but the client is passing gas.
Integumentary 4 abdominal incisions from laparoscopic procedure sealed with surgical glue. No drainage, redness, or edema present.
Musculoskeletal Reported chronic knee pain. 5+ strength in bilateral upper extremities, 5+ strength in bilateral lower extremities.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

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Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: While nutrition is important, a high-protein diet is not specific to the management of heart failure.

Choice B reason: Weighing every morning allows for monitoring of fluid retention, which is a key aspect of managing heart failure.

Choice C reason: Range of motion exercises are good for overall health but are not specific to heart failure management.

Choice D reason: Limiting fluid intake is important, but it is more critical to monitor weight daily to detect fluid retention early.

A. Learned coping skills B. Psychological assessment C. Unstained weight loss D. Recovery close to hospital E. Recent weight loss F. Client's age G. Family support

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

Explanation

Choice A reason: Learned coping skills are essential for managing the psychological aspects of obesity and the lifestyle changes required after bariatric surgery. The patient’s engagement with a psychologist and learning coping techniques can help her deal with postoperative stress and maintain the lifestyle modifications necessary for long-term success.
Choice B reason: A psychological assessment helps in understanding the patient’s readiness for surgery and ability to adhere to the postoperative regimen. It can identify any psychological barriers to weight loss and ensure that the patient is mentally prepared for the changes ahead.
Choice C reason: The term “unstained weight loss” seems to be a typographical error, possibly intending to mean “sustained weight loss.” However, sustained weight loss is not applicable in this context as the patient has not yet undergone surgery. Therefore, it does not contribute to the chances of positive outcomes post-surgery.
Choice D reason: Recovery close to the hospital can be beneficial as it allows for easier follow-up visits and quicker access to medical care if complications arise. It also reduces the stress associated with travel for postoperative care.
Choice E reason: Recent weight loss prior to surgery is a positive indicator as it shows the patient’s commitment to lifestyle changes and weight management. It can also reduce surgical risk and improve postoperative recovery1.
Choice F reason: While age can be a factor in surgical risk, there is no direct correlation between the client’s age and the chance for positive outcomes after bariatric surgery. Therefore, it is not a contributing factor in this scenario.
Choice G reason: Family support is crucial for a patient’s recovery and long-term success after bariatric surgery. The patient’s plan to go home with her mother, who lives close to the hospital, indicates a strong support system which can help with adherence to dietary and lifestyle changes.
Choice H reason: A high BMI, such as 41.4 kg/m^2, indicates severe obesity, which is the reason for undergoing bariatric surgery. While it is a factor for considering surgery, it does not inherently increase the chance for positive outcomes post-surgery.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is being discharged home after being treated for heart failure (HF). Which instruction should the nurse include in this client's discharge teaching plan?

Correct Answer is B

Explanation

Patient Data Exhibits The nurse reviews the client data. What increases the client's chance for positive outcomes after the completion of the bariatric surgery? Select all that apply.

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

Explanation

On admission to the emergency department, a client who was diagnosed with bipolar disorder 3 years ago reports taking a handful of medications this morning and left a suicide note for the family. Which information is most important for the nurse to obtain?

Patient Data Exhibits Review H and P and laboratory results. Drag from the Word Choices to complete the sentence. For the nutrition education portion of the visit, the nurse focuses on dropdown and dropdown.

The nurse is developing a plan of care for a client who reports chest pain on exertion and who is newly diagnosed with cardiovascular disease. Which outcome should the nurse include in the plan of care for this client?

The nurse implements a primary prevention program for sexually transmitted diseases in a nurse-managed health center. Which outcome indicates that the program was effective?

A client is admitted with the diagnosis of Wernicke's syndrome. Which assessment finding should the nurse use in planning the client's care?

A nurse observes a practical nurse (PN) pouring warm water over the perineal area of a female client who has frequent urinary incontinence while the client is positioned on a bedpan. Which action should the nurse take?

Patient Data Exhibits The nurse reviews the assessment findings along with the physician orders. Which immediate interventions would the nurse initiate? Select all that apply.