A nurse is assisting with preoperative teaching for a patient. Which of the following outcomes should the nurse expect?

Increased length of postoperative care in the health care facility

Reduced postoperative respiratory function

Increase in postoperative pain

Induced postoperative anxiety

Answer and Explanation

The Correct Answer is B

Choice A reason: Increased length of stay is not a direct outcome of preoperative teaching and depends on many factors.

Choice B reason: Reduced postoperative respiratory function can be a concern, and preoperative teaching aims to mitigate this risk by educating on breathing exercises and mobilization.

Choice C reason: Preoperative teaching should help manage expectations and pain control strategies, not increase postoperative pain.

Choice D reason: Preoperative teaching should aim to reduce anxiety by providing information and reassurance, not induce it.

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Correct Answer is B

Explanation

Choice A reason: Hydrochlorothiazide is a thiazide diuretic that typically causes potassium loss, not hyperkalemia.

Choice B reason: Spironolactone is a potassium-sparing diuretic, which can lead to an increase in potassium levels, potentially causing hyperkalemia.

Choice C reason: Furosemide is a loop diuretic that usually results in potassium loss, not hyperkalemia.

Choice D reason: Mannitol is an osmotic diuretic that does not typically cause hyperkalemia.

A. Elevate the patient in a high Fowler's position and encourage the use of an incentive spirometer and coughing. B. Increase oxygen to 70%. C. Switch oxygen to a rebreather mask. D. Position the patient prone and have the respiratory therapist perform postural drainage.

Correct Answer is A

Explanation

Choice A reason: Elevating the patient in a high Fowler's position can help improve lung expansion and oxygenation, and using an incentive spirometer along with coughing can help prevent atelectasis and pneumonia, which are common postoperative complications.

Choice B reason: Increasing oxygen to 70% without a specific indication could lead to oxygen toxicity, especially without assessing the patient's current oxygenation status.

Choice C reason: Switching to a rebreather mask is not indicated based on the given ABG results and could lead to CO2 retention.

Choice D reason: Positioning the patient prone and performing postural drainage are not typically first-line interventions for a patient one day post-thoracotomy and could be contraindicated due to the recent surgery.

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A nurse is assisting with preoperative teaching for a patient. Which of the following outcomes should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When presenting about caring for patients who are receiving diuretic therapy, the nurse should explain that which of the following medications can put patients at risk for hyperkalemia?

Correct Answer is B

Explanation

A patient is one day postoperative following an open thoracotomy. The patient is receiving oxygen mist at 40% by Venturi mask. The patient's ABG results are: pH 7.31, PaO2 93 mm Hg, PaCO2 50 mm Hg, HCO3 25 mEq/L. Which of the following is an appropriate action for the nurse?

Correct Answer is A

Explanation

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