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%.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Providing additional oral fluids is not appropriate for SIADH and can worsen fluid retention.
Choice B reason: Measuring glucose levels is important for diabetes management but not directly related to SIADH.
Choice C reason: Using hard candy may help relieve thirst but does not address the underlying issue of fluid retention in SIADH.
Choice D reason:
The correct answer is d) because withholding diuretics and contacting the healthcare provider is necessary to manage the fluid balance in clients with SIADH.
Correct Answer is D
Explanation
Choice A reason: Decreased weeping is not the primary expected therapeutic response of urea cream.
Choice B reason: Reduced pain is beneficial but not the primary expected response.
Choice C reason: Healing with a return to normal skin appearance may occur over time but is not the immediate expected response.
Choice D reason:
The correct answer is d) because urea cream helps hydrate and soften dry skin, which is the primary expected therapeutic response for eczema management.
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