A client has had emergency surgery for a ruptured appendix. Before surgery, the client was taking dexamethasone for three years. With the client's steroid use history, for which complication will the nurse monitor in the recovery phase?

Bradycardia

Postoperative blood clots

Impaired wound healing

Pre-surgical dehydration

Answer and Explanation

The Correct Answer is B

A) Bradycardia is not typically associated with long-term steroid use; it may be more related to factors like anesthesia or surgical stress.

B) Prolonged steroid use increases the risk of thrombosis, and postoperative blood clots are a concern in individuals with a history of long-term steroid use.

C) Steroids can delay wound healing, but in this context of emergency surgery for a ruptured appendix, the primary concern is often the risk of blood clots.

D) Pre-surgical dehydration is a potential concern but is not specifically related to the client's history of steroid use.

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Correct Answer is A

Explanation

a) Taking furosemide at 0800 is often recommended to promote diuresis during the day, allowing the client to manage fluid balance while awake and minimizing the need for frequent urination during the night.

b) Taking furosemide at 1900 may contribute to nocturnal diuresis, potentially affecting sleep.

c) Taking furosemide at 2200 is not ideal as it may lead to increased nighttime urination.

d) Taking furosemide at 1600 may not provide the optimal timing to balance diuretic effects throughout the day.

A. A "I should chew the medication when my heartburn is bad, so it absorbs more rapidly." B. B "I should take this medication with an antacid to maximize its effects." C. C "I should plan to take this medication for the rest of my life." D. D "I should take this medication on an empty stomach before I eat."

Correct Answer is D

Explanation

A) Omeprazole should not be chewed; it is usually taken whole with a glass of water.

B) Taking omeprazole with an antacid may alter its absorption and effectiveness; they should be taken separately.

C) While long-term use may be necessary in some cases, the statement doesn't reflect a proper understanding of the timing of administration.

D) Omeprazole is most effective when taken on an empty stomach, usually 30 to 60 minutes before a meal.

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A client has had emergency surgery for a ruptured appendix. Before surgery, the client was taking dexamethasone for three years. With the client's steroid use history, for which complication will the nurse monitor in the recovery phase?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is starting to take furosemide and asks the nurse. "When is the best time to take this medication?" What is the nurse's response?

Correct Answer is A

Explanation

The nurse is educating a client regarding the use of omeprazole. What statement by the client shows a proper understanding of how to take this medication?

Correct Answer is D

Explanation

A client has been prescribed 81 mg of enteric coated aspirin every morning. Which of these statements by the client warrants further education?

A client has had emergency surgery for a ruptured appendix. Before surgery, the client was taking dexamethasone for three years. With the client's steroid use history, for which complication will the nurse monitor in the recovery phase?

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