Which zone consists of the area where the injury is most severe and deepest?

Hyperemia.

Coagulation.

Stasis.

Necrosis.

Answer and Explanation

The Correct Answer is D

Necrosis. Necrosis is the death of cells or tissue due to disease, injury, or lack of blood supply. In the process of tissue injury, necrosis occurs in the deepest and most severe area of injury.

Choice A, Hyperemia is an increase in blood flow to an area, causing redness and warmth.

Choice B, Coagulation is the process of blood clotting.

Choice C, Stasis is a reduction in blood flow to an area, causing blood to pool and resulting in tissue hypoxia.

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Correct Answer is D

Explanation

Diarrhea. A client who is recovering from bariatric surgery and is eating from a portable commode is at risk for diarrhea. Diarrhea can cause fluid and electrolyte imbalances, leading to dehydration, which can be life-threatening, especially in the immediate postoperative period.

Option A, impaired mobility, would not be a priority concern in the immediate postoperative period for this client.

Option B, impaired gas exchange, is not related to the situation.

Option C, self-care deficit, maybe a concern but is not as significant as diarrhea in the immediate postoperative period.

A. Impaired facial movement. B. Signs of hypotension. C. Tinnitus and sensorineural hearing loss. D. Reduced urinary output.

Correct Answer is C

Explanation

Tinnitus and sensorineural hearing loss. Salicylates, loop diuretics, quinidine, quinine, or aminoglycosides can cause ototoxicity, which includes tinnitus (ringing in the ears) and sensorineural hearing loss. Therefore, the nurse should monitor the client for auditory changes and report them to the healthcare provider immediately.

Option A, impaired facial movement, is incorrect because it is a sign of facial nerve paralysis, which can occur due to Bell's palsy, stroke, or brain injury.

Option B, signs of hypotension, is incorrect because it can be caused by antihypertensive drugs or dehydration, not the drugs listed.

Option D, reduced urinary output, is incorrect because it can be a sign of acute kidney injury or dehydration, not the drugs listed.

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Which zone consists of the area where the injury is most severe and deepest?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client, who is recovering from bariatric surgery, is eating from a po [portable commode]. Nursing assessment is of greatest concern in the immediate postoperative period for which of the following?

Correct Answer is D

Explanation

During a pharmacology class, the students are told that some drugs need to be closely monitored. What aspect should the nurse closely monitor for in clients who have been administered salicylates, loop diuretics, quinidine, quinine, or aminoglycosides?

Correct Answer is C

Explanation

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