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Two hours before a client's scheduled surgery, the nurse is completing the preoperative checklist. Which information requires immediate action by the nurse?

Preoperative chest x-ray report is not available.

Surgical consent form is not signed.

Preoperative serum potassium level is 2.8 mEq/L (2.8 mmol/L).

Client's pulse oximeter reading is 96%.

Answer and Explanation

The Correct Answer is C

Choice A reason: While the chest x-ray report is important, it is not as immediately critical as a low potassium level.

Choice B reason: The surgical consent form is important but can be addressed quickly before surgery.

Choice C reason:

The correct answer is c) because a preoperative serum potassium level of 2.8 mEq/L is dangerously low and requires immediate correction to avoid cardiac complications during surgery.

Choice D reason: A pulse oximeter reading of 96% is within normal limits and does not require immediate action.

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Correct Answer is A

Explanation

Choice A reason:

The correct answer is a) because medications like colchicine and indomethacin can affect liver function, and periodic liver function studies are necessary to monitor for potential side effects.

Choice B reason: Massaging inflamed joints is not recommended as it can worsen inflammation.

Choice C reason: Substituting fruit juices for carbonated drinks is good dietary advice but not the most critical instruction.

Choice D reason: Limiting the use of mobility equipment is not relevant to managing gout and preventing complications.

A. Frequent use of chewable and liquid antacids for indigestion. B. Upper midabdominal pain described as gnawing and burning. C. Marked loss of weight and appetite over the last 3 or 4 months. D. Severe abdominal cramps and diarrhea after eating spicy foods.

Correct Answer is B

Explanation

Choice A reason: Frequent use of antacids may suggest gastrointestinal issues but is not specific to peptic ulcer disease.

Choice B reason:

The correct answer is b) because upper midabdominal pain described as gnawing and burning is a classic symptom of peptic ulcer disease.

Choice C reason: Marked loss of weight and appetite can be associated with many conditions and is not specific to peptic ulcer disease.

Choice D reason: Severe abdominal cramps and diarrhea after eating spicy foods are not typical symptoms of peptic ulcer disease.

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Two hours before a client's scheduled surgery, the nurse is completing the preoperative checklist. Which information requires immediate action by the nurse?

Nursing Test Bank

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Correct Answer is A

Explanation

The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this medical diagnosis?

Correct Answer is B

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