The nurse is caring for a post-operative client who underwent a left above-the-knee amputation 6 hours prior. Which of the following clinical findings should the nurse be most concerned with?
Temperature 99.2
Respiratory rate 18
Blood pressure 148/80
Heart rate 110
The Correct Answer is D
A. Temperature 99.2: A temperature of 99.2°F is a low-grade elevation that can be expected after surgery and is not the immediate priority.
B. Respiratory rate 18: RR of 18 breaths/min is within normal adult range and not an immediate concern.
C. Blood pressure 148/80: A systolic of 148 is mildly elevated and should be monitored, but it is less immediately alarming in the early postop period than signs of hemodynamic instability.
D. Heart rate 110: A heart rate of 110 bpm (tachycardia) shortly after major surgery may indicate pain, hypovolemia, bleeding, or evolving shock and requires prompt assessment and intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. 0.001 mg: This would be 0.000001 g converted to mg; it does not match 1 gram.
B. 1,000 mg: 1 gram = 1,000 milligrams; this is the correct conversion.
C. 100 mg: 100 mg equals 0.1 gram, which is less than the ordered 1 gram.
D. 1 mg: 1 mg equals 0.001 gram, far less than 1 gram.
Correct Answer is ["A","B","C","F"]
Explanation
A. Almonds: Almonds are a plant-based source of unsaturated fats (monounsaturated and polyunsaturated), making them a heart-healthy alternative to saturated-fat foods.
B. Fish: Many fish (especially fatty fish like salmon, mackerel, sardines) are rich in unsaturated fats, particularly omega-3 polyunsaturated fatty acids, which support cardiovascular health.
C. Avocado: Avocado provides predominantly monounsaturated fat and is considered a healthy unsaturated-fat food choice.
D. Butter: Butter is high in saturated fat and is not a recommended source of unsaturated fats on a low–saturated-fat heart-healthy diet.
E. Cheese: Cheese typically contains significant saturated fat (though amounts vary by type) and is not a primary source of unsaturated fats.
F. Olive oil: Olive oil is rich in monounsaturated fats and is recommended as a healthier fat option in heart-healthy diets.
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