While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin(antibiotic) as ordered 30 minutes preoperatively. Which statement indicates that teaching has been effective?

"This medication will replace vitamins and minerals that may be lost due to bleeding during surgery."

"This is a palliative medication to help ease the pain from surgery."

"This medication will help the surgeon identify areas of bone destruction due to arthritis."

"This antibiotic is given as a prophylactic to help reduce the risk of infection after surgery."

Answer and Explanation

The Correct Answer is D

A. "This medication will replace vitamins and minerals that may be lost due to bleeding during surgery." Cefazolin is an antibiotic, not a replacement for vitamins and minerals. This statement is incorrect.

B. "This is a palliative medication to help ease the pain from surgery."Cefazolin is not a palliative medication; it is an antibiotic used to prevent infection, not to relieve pain.

C. "This medication will help the surgeon identify areas of bone destruction due to arthritis." Cefazolin does not aid in the identification of bone destruction. It is an antibiotic, not a diagnostic tool.

D. "This antibiotic is given as a prophylactic to help reduce the risk of infection after surgery."
This statement is correct. Cefazolin is given prophylactically to reduce the risk of postoperative infection.

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Correct Answer is A

Explanation

A. The patient complains of shortness of breath: Shortness of breath is a hallmark symptom of an anaphylactic reaction. It indicates that the patient may be experiencing airway constriction, which is a medical emergency.

B. The patient reports feeling hot, and her face appears flushed: Flushing and a feeling of warmth can be early signs of an allergic reaction, but they are not specific to anaphylaxis. Other more severe symptoms would need to be present to diagnose anaphylaxis.

C. The patient states that she feels nauseated and has a headache: Nausea and headache are not typically associated with anaphylaxis. They may be side effects of the medication but are not indicative of an allergic reaction severe enough to cause anaphylaxis.

D. The patient complains of continued wakefulness and agitation: Continued wakefulness and agitation could be side effects of the sleeping pill but are not symptoms of an anaphylactic reaction. These symptoms do not require immediate emergency intervention like anaphylaxis would.

A. Ask the patient if they have used any holistic medications previously. B. Notify the health-care provider that the patient has refused the medication. C. Tell the patient to talk to the health-care provider when they make rounds. D. Tell the patient that the health-care provider would not order the medication unless it was necessary.

Correct Answer is A

Explanation

A. Ask the patient if they have used any holistic medications previously. This approach respects the patient's preferences and opens a dialogue about their health beliefs and practices. Understanding the patient's use of holistic remedies allows the nurse to provide more personalized care and address potential interactions with prescribed medications.

B. Notify the health-care provider that the patient has refused the medication.
This step might be necessary eventually, but first, the nurse should explore the patient's concerns and preferences to see if a solution can be reached.

C. Tell the patient to talk to the health-care provider when they make rounds.
This response delays addressing the patient's concerns and misses an opportunity for the nurse to engage with the patient directly.

D. Tell the patient that the health-care provider would not order the medication unless it was necessary.
This response dismisses the patient's concerns and does not consider their cultural beliefs, which may lead to decreased trust and cooperation.

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While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin(antibiotic) as ordered 30 minutes preoperatively. Which statement indicates that teaching has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Shortly after providing a new sleeping pill to a patient on the medical unit, the nurse answers the patient's call light. Which of the following findings would indicate to the nurse that the patient is experiencing an anaphylactic reaction to the medication?

Correct Answer is A

Explanation

A nurse is taking care of a culturally diverse patient who is reluctant to take the prescribed medication. Which finding would warrant but prefers holistic medications. What is the best nursing response?

Correct Answer is A

Explanation

A nurse from the adult medical unit is pulled to the geriatric unit. The nurse notes that many of the common medications provided are in lower doses than typically prescribed. What action by the nurse is the highest priority?

The nurse has received a verbal STAT order for a critical care patient from the health-care provider at 11:30 a.m. and is preparing to administer the medication. Which is the priority nursing action?

The nurse is administering a lozenge to a patient for treatment of a sore throat. Which instruction by the nurse would lead to increased absorption of the medication?

A nurse should have a patient remain in the office for 15 minutes following the administration of which of the following medications? Select all that apply.

A nurse is preparing to administer a medication to a patient. Which routes should the nurse anticipate as leading to quicker systemic absorption? (Select all that apply.)

Which term means moving of the medication from the site of administration to the target organ?

A nurse is reviewing the medication profile of a geriatric patient who has several comorbidities. Which finding would warrant priority action?