Samantha, a nurse in the post-operative ward, is going over recent lab results of a patient, Jane, who underwent abdominal surgery two days ago. Samantha notes an elevated C- reactive protein level. What clinical concern should Samantha prioritize based on this finding?
Increased risk of hemorrhage
Suspected allergic response to medication
Dehydration and fluid imbalance
Early indication of possible infection
The Correct Answer is D
A. Elevated C-reactive protein levels are not directly associated with an increased risk of hemorrhage.
B. C-reactive protein elevation is not indicative of an allergic response to medication.
C. C-reactive protein levels do not directly correlate with dehydration or fluid imbalance.
D. Elevated C-reactive protein levels are often seen in response to inflammation, including that caused by infection. In a post-operative patient, this elevation could indicate the early stages of an infection, and thus should be a priority concern for the nurse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Alveolar macrophages are involved in immune defense within the lungs but are not directly responsible for bronchospasm.
B. This system helps remove mucus and trapped particles from the airways but does not directly cause bronchospasm.
C. Exposure to cold air can trigger reflex bronchoconstriction as a protective mechanism to prevent the entry of cold air into the lungs.
D. Filtration of air occurs primarily in the upper airways and does not directly relate to bronchospasm triggered by cold air inhalation.
Correct Answer is C
Explanation
A. Oral antispasmodic agents may help with muscle twitching and cramps but are not indicated for dysphagia caused by corticospinal tract degeneration.
B. Anti-anxiety medications are not indicated for dysphagia and progressive muscle weakness.
C. Enteral tube feeding is appropriate to ensure adequate nutrition and hydration in individuals with dysphagia, preventing complications such as malnutrition and aspiration pneumonia.
D. Relaxation techniques may help with muscle tension and anxiety but would not address the dysphagia directly.
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