A nurse in an emergency department is preparing a client for emergency surgery. The
client's blood alcohol level is 180 mg/dL. Which of the following actions is the nurse's priority?

Obtain consent for surgery.

Insert an indwelling urinary catheter.

Apply antiembolic stockings.

Insert an NG tube.

Answer and Explanation

The Correct Answer is A

The nurse's priority is to ensure that the client has given informed consent for the surgery, which requires that the client is competent and understands the risks and benefits of the procedure. A client with a high blood alcohol level may not have the mental capacity to consent and may need a legal representative or a court order to proceed with the surgery.

The other actions are important but not as urgent as obtaining consent.

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Correct Answer is C

Explanation

Ciprofloxacin is an antibiotic used to treat different types of bacterial infections, including urinary tract infections. Drinking plenty of fluids can help flush out bacteria from the urinary tract and prevent dehydration. Taking an antacid can reduce the absorption of ciprofloxacin and make it less effective.

Monitoring heart rate is not necessary unless the client has a history of cardiac problems or is taking other medications that affect the heart . Taking a laxative can cause diarrhea, which can worsen dehydration and electrolyte imbalance.

A. "Tell me why it's important to have your CD4+ count checked." B. "Name a few things you will change about your diet." C. "List some ways you can cope with the stress of your illness." D. "Describe your daily medication schedule."

Correct Answer is D

Explanation

This response assesses the client's understanding and adherence to the antiretroviral therapy (ART), which isessential for managing HIV and preventing complications and transmission. ART requires strict adherence to a specific regimen of medications that must be taken at certain times and with certain foods or fluids.

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A nurse in an emergency department is preparing a client for emergency surgery. The client's blood alcohol level is 180 mg/dL. Which of the following actions is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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A nurse in an emergency department is preparing a client for emergency surgery. The
client's blood alcohol level is 180 mg/dL. Which of the following actions is the nurse's priority?