The nurse is assessing the patient's output for the shift. What finding is most concerning?

Green, soft stool after the patient received antibiotics

Large, loose stool after the patient received a laxative

Dry, hard stool from a patient receiving opiates.

Black tarry stool from a patient receiving an anticoagulant

Answer and Explanation

The Correct Answer is D

A. Green, soft stool after the patient received antibiotics: Green stool can be a side effect of antibiotics due to changes in gut flora but is not typically concerning.

B. Large, loose stool after the patient received a laxative: This is an expected outcome of laxative use and is not cause for concern.

C. Dry, hard stool from a patient receiving opiates: Opiates commonly cause constipation. While this requires management, it is not the most concerning finding.

D. Black tarry stool from a patient receiving an anticoagulant: Black tarry stool (melena) indicates gastrointestinal bleeding, which can be life-threatening, especially in a patient on anticoagulants. Immediate assessment is required.

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Correct Answer is C

Explanation

A. The frequency: The ordered frequency (once daily, QD) aligns with the drug guide recommendation.

B. The dose: The prescribed dose (50 mg once daily) is within the recommended range (25-200 mg once daily).

C. The route: The nurse must ensure that the patient can swallow tablets whole, as metoprolol succinate should not be crushed or chewed. If the patient has swallowing difficulties, the provider should be consulted for an alternative formulation.

D. The medication: The correct formulation (metoprolol succinate, extended-release) matches the order.

A. Applies non skid socks before getting the patient out of bed. B. Activates the chair alarm when the patient is sitting in the chair. C. Ensures that the bed is in the lowest position prior to leaving the room. D. Places the patient on bedrest.

Correct Answer is D

Explanation

A. Applies non-skid socks before getting the patient out of bed: Non-skid socks help prevent slipping and are an appropriate fall precaution.

B. Activates the chair alarm when the patient is sitting in the chair: Chair alarms alert staff if the patient attempts to get up unassisted, reducing fall risk.

C. Ensures that the bed is in the lowest position prior to leaving the room: Keeping the bed low reduces the severity of injury in case of a fall.

D. Places the patient on bed rest: Bed rest is not a standard fall precaution unless medically necessary. It can lead to deconditioning and further weakness, increasing fall risk.

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The nurse is assessing the patient's output for the shift. What finding is most concerning?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

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Correct Answer is D

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