When the nurse discontinues a 24-hour postoperative client's patient-controlled analgesia (PC

"Your PCA pump has just been discontinued, and you need to wait at least one hour before leaving the unit."

"You may smoke in your room if you keep the door closed and open a window."

"Smoking is hazardous to your health, and since you just had surgery, it would be best for you to avoid smoking."

"As long as you go to the smoking area in a wheelchair, it will be all right for you to go smoke."

Answer and Explanation

The Correct Answer is C

Choice A reason: Advising the client to wait at least one hour before leaving the unit may not address the underlying health risks associated with smoking, especially after surgery. It does not provide sufficient health education about the dangers of smoking.

Choice B reason: Allowing the client to smoke in their room is inappropriate and unsafe. Smoking indoors poses fire hazards and exposes others to secondhand smoke, which is harmful. This response is not acceptable in a healthcare setting.

Choice C reason: This response addresses the health risks of smoking and provides sound advice for postoperative care. Educating the client about the dangers of smoking, especially after surgery, is crucial for their recovery and overall health.

Choice D reason: Allowing the client to go to the smoking area in a wheelchair does not address the health risks associated with smoking, especially after surgery. This response is not appropriate for promoting the client's health and recovery.

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Correct Answer is D

Explanation

Choice A reason: Performing a neurological exam is important in assessing the overall neurological status of a client, but it does not immediately address the symptoms of confusion and blurred vision caused by hypoglycemia, which is a common side effect of glipizide. This action would be more appropriate if there were indications of neurological impairment due to other causes.

Choice B reason: Administering glucagon intramuscularly is an effective treatment for severe hypoglycemia when the client is unconscious or unable to take oral glucose. However, it may not be the first step if the client is still conscious and able to cooperate. The priority is to confirm the client's blood glucose level first.

Choice C reason: Measuring the client's vital signs is a necessary step in assessing their overall condition, but it does not specifically address the issue of hypoglycemia. Vital signs may help identify other potential complications, but they do not provide information about the blood glucose level, which is crucial in this scenario.

Choice D reason: Obtaining a fingerstick blood glucose is the immediate action to determine if the client is experiencing hypoglycemia. Glipizide is a sulfonylurea that can cause low blood sugar levels, leading to confusion and blurred vision. Confirming the blood glucose level will guide the subsequent actions to correct hypoglycemia if it is present.

A. Call the clinic if diarrhea or headache occur when taking esomeprazole. B. Once pain subsides, NSAID therapy can be resumed. C. Resume a diet that consists of milk, cream, and bland foods. D. Notify the healthcare provider of the passage of black stools.

Correct Answer is D

Explanation

Choice A reason: Calling the clinic for diarrhea or headache is important, but it is not as urgent as reporting black stools, which can indicate gastrointestinal bleeding.

Choice B reason: Resuming NSAID therapy once pain subsides is incorrect. NSAIDs should be avoided due to their adverse effects on the gastrointestinal tract, especially if the client has already experienced bleeding.

Choice C reason: Resuming a diet of milk, cream, and bland foods is not necessarily required for managing the condition and may not address the primary concerns related to gastrointestinal bleeding.

Choice D reason: Notifying the healthcare provider of the passage of black stools is critical as it may indicate ongoing gastrointestinal bleeding, which requires immediate medical evaluation and intervention.

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When the nurse discontinues a 24-hour postoperative client's patient-controlled analgesia (PC

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client reports confusion and blurred vision after receiving a dose of glipizide. Which action should the nurse implement?

Correct Answer is D

Explanation

Correct Answer is D

Explanation

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