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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Storing at room temperature is correct, but it is not the most critical information.
Choice B reason: Crushing zolpidem is not recommended as it is typically taken in its original form for proper absorption and effect.
Choice C reason: Administering with a meal is not necessary and can actually delay the onset of action.
Choice D reason: Taking zolpidem before bedtime is crucial as it is intended to aid in sleep and should be taken immediately before going to bed.
Correct Answer is D
Explanation
Choice A reason: The apical heart rate is important for other assessments but does not directly assess for orthostatic hypotension.
Choice B reason: Pulse pressure is not specifically related to orthostatic hypotension assessment.
Choice C reason: Level of consciousness can be affected by orthostatic hypotension but is not the primary assessment.
Choice D reason: Blood pressure should be measured in both lying and standing positions to assess for orthostatic hypotension.
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