The nurse is caring for the postoperative client. The nurse should determine which healthcare provide order is specifically written to prevent thrombophlebitis and pulmonary embolism?

Have client use incentive spirometer and cough g2h while awake

Give Lovenox 40 mg subcutaneously daily.

Have patient sit on bedside and dangle lower extremities

Give hydromorphone 1 to 4 mg IVP q4h pr

Answer and Explanation

The Correct Answer is B

A. Have client use incentive spirometer and cough q2h while awake: Incentive spirometry prevents atelectasis and improves pulmonary hygiene but does not directly prevent venous thrombosis/PE.
B. Give Lovenox 40 mg subcutaneously daily: Low-molecular-weight heparin (e.g., enoxaparin/Lovenox) is commonly ordered postoperatively to prevent deep vein thrombosis and pulmonary embolism.
C. Have patient sit on bedside and dangle lower extremities: Prolonged sitting/leg dependency can promote venous stasis and increase DVT risk; early ambulation is preferred.
D. Give hydromorphone 1 to 4 mg IVP q4h prn: Opioid analgesia manages pain but does not prevent thrombophlebitis or PE; in fact, oversedation may reduce mobility and increase DVT risk.

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Correct Answer is D

Explanation

A. "Drinking grapefruit juice while taking cimetidine can lead to lead to toxicity.": Grapefruit interacts with many CYP3A4-metabolized drugs, but grapefruit-cimetidine toxicity is not a standard patient teaching point; cimetidine has other drug interactions and enzyme inhibition but grapefruit is not the primary counseling focus.
B. "Take an antacid 30 min prior to taking cimetidine to minimize stomach upset.": Antacids can interfere with cimetidine absorption; if antacids are used, separate them from cimetidine (usually by ~1 hour) rather than giving them simultaneously.
C. "Avoid taking the medication at bedtime.": Cimetidine is often dosed at bedtime for duodenal-ulcer healing (one common regimen is 800 mg at bedtime).
D. "You will need to continue taking this medication for up to 6 weeks.": Standard duodenal-ulcer treatment with cimetidine is typically continued for ~4–6 (up to 6–8) weeks unless healing is demonstrated earlier.

A. Assess the patient for symptoms of hyperglycemia B. Administer a continuous infusion of 5% dextrose for 24 hours. C. Give the patient a snack of crackers and peanut butter. D. Have the patient drink a glass of orange juice or nonfat milk.

Correct Answer is D

Explanation

A. Assess the patient for symptoms of hyperglycemia: The immediate concern after glucagon is preventing recurrent hypoglycemia, not hyperglycemia.
B. Administer a continuous infusion of 5% dextrose for 24 hours: Usually not required if the patient can tolerate oral intake and glucose stabilizes.
C. Give the patient a snack of crackers and peanut butter: Reasonable, but solid snack may be harder to tolerate immediately after an episode -liquids are recommended first if swallowing is safe.
D. Have the patient drink a glass of orange juice or nonfat milk: Once the patient is awake and able to swallow, give a quick source of oral carbohydrate (juice or milk) followed by a snack to replenish glycogen and prevent rebound hypoglycemia.

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The nurse is caring for the postoperative client. The nurse should determine which healthcare provide order is specifically written to prevent thrombophlebitis and pulmonary embolism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a duodenal ulcer and a new prescription for cimetidine. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

Intramuscular glucagon is administered to an unresponsive patient for treatment of hypoglycemia. Which action should the nurse take after the patient regains consciousness?

Correct Answer is D

Explanation

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