Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)
Dry crust on the incision line
Adventitious breath sounds
Increased urine output
Decreased level of consciousness
Oral temperature of 38.3° C (101° F)
Correct Answer : B,D,E
A. Dry crust on the incision line may indicate normal healing, not necessarily infection.
B. Adventitious breath sounds can be indicative of pneumonia, a potential infection.
C. Increased urine output is not a sign of infection but may suggest other issues.
D. Decreased level of consciousness suggests a systemic issue, which could include infection affecting the central nervous system.
E. Oral temperature of 38.3° C (101° F) indicates fever which is a common sign of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Acetaminophen is often the initial choice for managing osteoarthritis pain in older adults due to its lower risk of gastrointestinal and cardiovascular side effects.
B. Celecoxib and ibuprofen are NSAIDs that may be considered but are associated with a higher risk of side effects, especially in older adults.
C. Hyaluronic acid injections are typically considered if oral medications are not effective, and the patient has persistent symptoms.
D. Ibuprofen is an NSAID and is associated with increased risk of gastrointestinal bleeding and renal impairment hence is not considered as a first line management of osteoarthritis.
Correct Answer is A
Explanation
A. Asking the client to describe one physical effect after teaching is seeking feedback to ensure understanding.
B. The environment refers to the physical surroundings and context of communication, not the client's response.
C. The message is the information conveyed during teaching.
D. The channel is the method or medium through which communication occurs, such as verbal or written communication.
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