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. The client will verbalize 3 positive attributes about themselves by day 3. This is a good long-term goal but does not directly prevent self-harm.
B. The client will perform personal hygiene with no prompting. Improved self-care is beneficial but is not the primary priority in suicide prevention.
C. The client will attend group by day 2. Participation in therapy is helpful, but ensuring physical safety takes precedence.
D. The client will remain free from injury for the duration of their hospitalization. The most critical goal for a client at risk for suicide is preventing self-harm, making this the priority outcome.
Correct Answer is D
Explanation
A. A 30-year-old rich man: While anyone can develop depression, wealth and younger age generally lower the risk.
B. A 70-year-old married man in a two-income household: Having a supportive spouse and financial stability generally lower depression risk in older adults.
C. A 24-year-old married woman in a single-income home: While financial stress may be a risk factor, younger married individuals tend to have more social support, reducing their overall risk.
D. A 64-year-old single woman: Older women, especially those who are single, widowed, or lacking social support, have an increased risk for depression. The risk is compounded by potential health issues and isolation.
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