The client has just returned to the surgical unit following femoral-popliteal bypass surgery of the right leg. The nurse should place the client in which position?

Supine with the right leg extended and flat

High-Fowler's with the right leg extended

Semi-Fowler's with the right leg on two pillows

Supine with the right leg flexed at a 45-degree angle

Answer and Explanation

The Correct Answer is C

A.   This position can increase pressure on the surgical site and hinder blood flow.
B.   This position can also increase pressure on the surgical site and may be uncomfortable for the client.
C.   This position promotes venous return, reduces swelling, and minimizes pressure on the surgical site.
D.   This position can increase pressure on the surgical site and may hinder blood flow.

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

Explanation

A. This statement is correct and crucial. Completing the full course of antibiotics is essential to ensure the infection is fully treated and to prevent antibiotic resistance.
B. Metronidazole can cause a disulfiram-like reaction (similar to what occurs with alcohol and disulfiram) if alcohol is consumed during treatment or shortly after. Symptoms can include flushing, nausea, vomiting, and palpitations.
C. Metronidazole can potentially reduce the effectiveness of hormonal contraceptives. Using a barrier method, like condoms, can help prevent unintended pregnancy during treatment.
D. This statement is not necessary. Metronidazole is not typically associated with crystalluria or the need to strain urine for crystal fragments. This instruction does not apply to this medication.
E. This statement is inaccurate. While metronidazole can cause darkening of the urine, it is not specifically known to change urine to pale yellow. Typically, discoloration could be more of a brown or dark color, and pale yellow is not a common effect of this medication.

A. Complaints of muscle cramps with exercise B. Complaints of burning pain during the night C. Pedal pulses are +1 bilaterally D. Tissue that is blackened on the great toe

Correct Answer is B

Explanation

A. While claudication (muscle cramps with exercise) is common in earlier stages of PAD, it typically occurs in stage II. In stage III, pain often occurs at rest rather than with exertion.
B. In stage III PAD, patients often report rest pain, which can manifest as burning pain in the legs or feet, particularly at night when lying down. This is a hallmark symptom of advanced PAD due to inadequate blood flow.
C. While diminished pulses (like +1) can be found in PAD, this finding alone is not specific to stage III. In advanced stages, pulses may be even weaker or absent.
D. Blackened tissue (necrosis or gangrene) indicates a more severe stage (stage IV) of PAD, where there is critical limb ischemia and tissue death due to a lack of blood flow. Stage III may involve severe pain but usually does not have necrosis.

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The client has just returned to the surgical unit following femoral-popliteal bypass surgery of the right leg. The nurse should place the client in which position?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is prescribed metronidazole, an antimicrobial agent, orally for 10 days. When performing discharge teaching, which statement(s) should be included in the instruction? (SELECT ALL THAT APPLY)

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

Explanation

The client's chart indicates the diagnosis of stage III peripheral arterial disease. Which nursing assessment finding correlates with this diagnosis?

Correct Answer is B

Explanation

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