The nurse is admitting a 32-year-old woman to the presurgical unit. The nurse learns during the admission assessment that the client takes oral contraceptives and recognizes that this increases the client's risk for post-operative complications. What intervention should the nurse include in the postoperative plan of care?

Dependent positioning of the client's extremities when at rest

Doppler ultrasound of peripheral circulation twice daily

Early ambulation and leg exercises

Cessation of oral contraceptives until 3 weeks postoperative

Answer and Explanation

The Correct Answer is C

A. Dependent positioning can increase the risk of venous pooling and thrombosis.
B. Doppler ultrasound may be used if there is a suspicion of thrombosis but is not a standard preventative intervention.
C. Early ambulation and leg exercises promote circulation and reduce the risk of deep vein thrombosis, which is increased by oral contraceptive use.
D. Stopping oral contraceptives pre- or postoperatively is a physician’s decision, not a nursing intervention.

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Correct Answer is D

Explanation

A. A consultation is unnecessary in this context, as the A1C result indicates excellent glucose control.
B. Further teaching is not indicated because the lab result shows the client is likely adhering to nutritional recommendations.
C. Rebound hyperglycemia, such as the Somogyi effect, would likely result in an elevated A1C.
D. An A1C of 5% is within the normal range and suggests that the client's blood glucose levels have been well controlled over the past 2–3 months, indicating adherence to the prescribed treatment plan.

A. Polyuria B. Flaccid paralysis C. Absent P waves D. Diarrhea

Correct Answer is B

Explanation

A. Polyuria is not a direct sign of hypokalemia.
B. Flaccid paralysis can result from severe hypokalemia due to muscle weakness.
C. Absent P waves are associated with hyperkalemia, not hypokalemia.
D. Diarrhea can cause potassium loss but is not a sign of low potassium itself.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with diabetes has a glycosylated hemoglobin A1C measurement of 5%. Based on this laboratory test result, what should the nurse conclude about this client's needs?

Correct Answer is D

Explanation

The nurse caring for a client post-colon resection assesses the client on the second postoperative day. The nasogastric tube remains patent and is draining moderate amounts of greenish fluid. Which assessment finding would suggest that the client's potassium level is too low?

Correct Answer is B

Explanation

The nurse is providing education to a client with chronic arterial insufficiency. Which client statement indicates the need for additional teaching?

An elderly client is in the emergency department, diagnosed with severe HHNK (Hyperosmolar Hyperglycemic Non-Ketotic Syndrome). Which intervention should the nurse include in the plan of care?

A nurse is caring for a preoperative client. The nurse signs as a witness on the client's consent form. Which of the following does the nurse's signature on the consent form indicate?

A nurse reviews the medication list for a client with a new warfarin prescription. The nurse should recognize which of the following medications is incompatible with warfarin.

A nurse provides preoperative teaching by demonstrating diaphragmatic breathing to a client scheduled for surgery in the morning. Which of the following actions should the nurse include in the demonstration?

A nurse is caring for a client who is two hours postoperative after a laparoscopic cholecystectomy. The client is complaining of pain in the right shoulder. Which nursing intervention should the nurse implement?

Which assessment finding would alert the nurse to the possibility of worsening hyponatremia?