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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Seeking a tutor for help with a challenging class: Seeking help for academic difficulties is a positive coping mechanism, not a warning sign of suicide.

B. Volunteering to serve food at a homeless shelter over the holidays: Volunteering is generally a sign of social engagement and purpose, which lowers suicide risk.

C. Making plans to go to a high school dance: Engaging in social activities is a protective factor against suicide, not a warning sign.

D. Displaying extreme mood swings: Sudden, extreme mood changes, especially from depression to euphoria, can be a warning sign of suicidal ideation.

A. A client who is taking a thiazide diuretic B. A client who has salicylate intoxication C. A client who has diarrhea D. A client who is vomiting

Correct Answer is C

Explanation

A. A client who is taking a thiazide diuretic: Thiazide diuretics promote loss of potassium and hydrogen ions, leading to metabolic alkalosis rather than acidosis.

B. A client who has salicylate intoxication: Early salicylate toxicity causes respiratory alkalosis, though severe cases can progress to metabolic acidosis.

C. A client who has diarrhea: Chronic diarrhea leads to excessive bicarbonate loss, resulting in metabolic acidosis.

D. A client who is vomiting: Vomiting leads to loss of stomach acid (HCl), which causes metabolic alkalosis, not acidosis.

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Which patient finding indicates the need for further monitoring rather than discharge home after an outpatient surgical procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A school nurse is planning a presentation about identifying potential warning signs of suicide for high school students. Which of the following examples of behaviors should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is reviewing the medical records of four clients who have an acid-base imbalance. The nurse should recognize that which of the following clients is at risk for metabolic acidosis?

Correct Answer is C

Explanation

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In teaching the patient about postoperative pain management, which statement by the nurse is best?