The nurse is admitting a client from the postanesthesia care unit (PACU) to the postoperative surgical care unit. Which prescription should the nurse implement first?
Cefazolin 1 gram IV every 6 hours.
Complete blood cell count (CBC) in AM.
Advance from clear liquids as tolerated.
Straight catheterization if unable to void.
The Correct Answer is A
Choice A reason: Administering cefazolin, an antibiotic, is a priority to prevent or treat potential infections in the immediate postoperative period.
Choice B reason: Completing a CBC in the morning is important for ongoing assessment but is not an immediate priority.
Choice C reason: Advancing the diet as tolerated is important but can be done after ensuring infection prevention.
Choice D reason: Straight catheterization is necessary if the client is unable to void but is not the immediate priority compared to preventing infection.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C,B,D,A
Explanation
The correct order is:
- Note date and time of the behavior.
- Discuss the issue privately with the UAP.
- Plan for scheduled break times.
- Evaluate the UAP for signs of improvement.
Correct Answer is A
Explanation
Choice A reason: Focusing on small achievable tasks helps the client experience a sense of accomplishment and reduce anxiety. It provides structure and manageable goals, which can improve concentration and reduce overwhelming feelings.
Choice B reason: Relaxing and reducing the effort to solve the problem may help to some extent, but it is not a comprehensive coping strategy and does not address the client's avoidance behaviors and concentration difficulties.
Choice C reason: Analyzing past hurts and resentments is more aligned with psychotherapy rather than an immediate coping strategy for generalized anxiety disorder.
Choice D reason: Concentrating on and ventilating emotions when distressed might provide temporary relief but does not address the broader issue of managing anxiety and improving function.
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