A nurse is caring for an adolescent who is 1 hr postoperative following an appendectomy.
Which of the following findings should the nurse report to the provider?
Muscle rigidity.
Abdominal pain.
Temperature 36.4° C (97.5° F).
Heart rate 63/min.
The Correct Answer is A
Muscle rigidity following an appendectomy could be a sign of a serious complication such as peritonitis and should be reported to the provider immediately.
Choice B is wrong because abdominal pain is a common occurrence following an appendectomy and may not necessarily require immediate attention from the provider.
Choice C is wrong because a temperature of 36.4° C (97.5° F) is within the normal range.
Choice D is wrong because a heart rate of 63/min is within the normal range for an adolescent.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Checking the toddler’s ID band against the medical record is the best way to confirm their identity before administering medication.
This ensures that the right medication is given to the right patient.
Choice A is wrong because room numbers can change and are not a reliable way to identify a patient.
Choice B is not the best answer because it relies on another person’s knowledge and memory, which can be fallible.
Choice C is wrong because parents may be stressed or distracted and may not provide accurate information.
Correct Answer is B
Explanation
Your child should walk the bicycle through intersections.
Walking the bicycle through intersections can help increase the child’s visibility and reduce the risk of accidents.
Choice A is wrong because it’s important for the child to ride as far to the right as possible, not 3 feet from the curb.
Choice C is wrong because the child should always ride with the flow of traffic, not against it.
Choice D is wrong because when seated on the bicycle, the child’s feet should be able to touch the ground.
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