Which patient finding indicates the need for further monitoring rather than discharge home after an outpatient surgical procedure?
Inability to void without fluid retention
Persistent nausea without vomiting
Lethargy that resolves after several hour
Pain management with opioid analgesics
The Correct Answer is A
A. Inability to void without fluid retention. Urinary retention is a common post-op complication, especially after anesthesia, and requires monitoring to prevent bladder distension or kidney issues.
B. Persistent nausea without vomiting. Nausea can be managed with antiemetics and does not necessarily require prolonged monitoring.
C. Lethargy that resolves after several hours. Post-anesthesia drowsiness is expected and does not necessarily indicate a need for extended observation.
D. Pain management with opioid analgesics. Pain control with opioids is expected and does not, by itself, require extended monitoring.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Bipolar disorder: Bipolar disorder involves episodes of mania and depression but does not typically present with postpartum psychotic symptoms such as hallucinations.
B. Premenstrual dysphoric disorder: This is a severe form of premenstrual syndrome (PMS) that affects mood, but it is not associated with postpartum psychosis or auditory hallucinations.
C. Psychotic depression: Psychotic depression can include hallucinations, but in a postpartum context, postpartum psychosis is the more likely diagnosis.
D. Postpartum depression: Severe postpartum depression can lead to postpartum psychosis, which includes symptoms like hallucinations and delusions. This is a medical emergency requiring immediate intervention.
Correct Answer is D
Explanation
A. Numbness of fingers. Numbness or tingling (paresthesia) is more common in respiratory alkalosis due to low CO₂ levels causing calcium binding changes.
B. Dry skin. Respiratory acidosis does not typically cause dry skin; rather, it may cause cyanosis or flushed skin due to CO₂ retention.
C. Abdominal pain. Abdominal pain is more commonly seen in metabolic acidosis, not respiratory acidosis.
D. Lethargy. Respiratory acidosis leads to CO₂ retention, which depresses the central nervous system, causing lethargy, confusion, and even coma in severe cases.
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