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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 ["0.2"]

Explanation

Calculation steps:

Step 1: Identify the dosage required. 10 mg

Step 2: Identify the concentration available. 50 mg/mL

Step 3: Calculate the volume to be administered. 10 mg ÷ 50 mg/mL

Result: 0.2 mL

A. Teach the client to use pursed lip breathing when episodes occur. B. Determine if the client is using an inhaler before exercising. C. Assess the client for signs and symptoms of upper airway infection. D. Review the client's routine asthma management prescriptions.

Correct Answer is B

Explanation

Choice A reason: Teaching the client to use pursed lip breathing is helpful for managing breathing difficulties, but it is not the first action to address exercise-induced bronchoconstriction.

Choice B reason:

The correct answer is b) because determining if the client is using an inhaler before exercising is crucial to prevent bronchoconstriction and manage asthma symptoms effectively.

Choice C reason: Assessing for signs and symptoms of upper airway infection is important but is not directly related to exercise-induced bronchoconstriction.

Choice D reason: Reviewing the client's routine asthma management prescriptions is important but should come after addressing the immediate concern of exercise-induced symptoms.

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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?

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Naxlex Comprehensive Predictor Exams

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