When the nurse discontinues a 24-hour postoperative client's patient-controlled analgesia (PCA) pump, the client asks to go to the hospital's smoking area to smoke a cigarette. Which response should the nurse provide?

"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 A

Explanation

Choice A reason: A platelet count of 100,000/mm³ is significantly below the normal range and indicates thrombocytopenia, which increases the risk of bleeding. Enoxaparin, an anticoagulant, further elevates this risk, making immediate intervention necessary. The nurse must notify the healthcare provider and take appropriate measures to prevent potential bleeding complications.

Choice B reason: A blood urea nitrogen (BUN) level of 20 mg/dL is at the upper limit of the normal range and does not require immediate action. This value does not indicate a critical change in the client's condition and does not have the same urgency as a low platelet count.

Choice C reason: A serum creatinine level of 1.0 mg/dL is within the normal range and does not require urgent action. This result does not suggest any immediate threat to the client's health and is not influenced by the administration of enoxaparin.

Choice D reason: A hematocrit level of 45% is within the normal range and does not require immediate intervention. This value does not indicate any abnormality that would necessitate urgent action by the nurse.

A. Consume tyramine-free foods while taking the medicine. B. Be aware that difficulty sleeping and weight loss may occur. C. Notify the healthcare provider of any significant side effects.

Correct Answer is B

Explanation

Choice A reason: While consuming tyramine-free foods is crucial for clients taking monoamine oxidase inhibitors (MAOIs), it is not relevant for bupropion, which does not have the same dietary restrictions.

Choice B reason: Difficulty sleeping and weight loss are common side effects of bupropion. It is important for clients to be aware of these potential issues so they can manage them appropriately and report any significant concerns to their healthcare provider.

Choice C reason: While it is always good practice to notify the healthcare provider of significant side effects, this is a general instruction that does not specifically address the common side effects of bupropion, which the client should be particularly aware of.

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When the nurse discontinues a 24-hour postoperative client's patient-controlled analgesia (PCA) pump, the client asks to go to the hospital's smoking area to smoke a cigarette. Which response should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A client with a history of smoking cigarettes for many years arrives at the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching?

Correct Answer is B

Explanation

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