A nurse is monitoring a client post-hypophysectomy. Which assessment finding is most important to report to the health care provider?
Abdominal pain
Urticaria of the arms
Persistent nasal drainage
Pain during urination
The Correct Answer is C
Choice A reason: Abdominal pain is not a typical complication of hypophysectomy and is less urgent compared to other potential complications.
Choice B reason: Urticaria (hives) of the arms can indicate an allergic reaction but is not directly related to the surgery. It requires attention but is not the most critical finding.
Choice C reason: Persistent nasal drainage following hypophysectomy could indicate a cerebrospinal fluid (CSF) leak, which is a serious complication. CSF leaks require immediate medical attention to prevent meningitis and other complications.
Choice D reason: Pain during urination is not directly related to the hypophysectomy and is less urgent compared to other potential complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: Placing defibrillator pads and preparing for defibrillation is typically not indicated for supraventricular tachycardia (SVT) unless the patient is unresponsive or pulseless, which requires immediate emergency intervention. SVT is usually managed with vagal maneuvers or medications.
Choice B reason: Cardizem (diltiazem) is not administered subcutaneously. It is usually given orally or intravenously for the treatment of arrhythmias. Requesting clarification on this order is necessary to ensure the correct administration route.
Choice C reason: Preparing for synchronized cardioversion is an appropriate order for the treatment of unstable SVT if medications are ineffective. This procedure involves delivering a timed electrical shock to restore normal heart rhythm.
Choice D reason: Adenosine is not administered orally. It is typically given as a rapid intravenous push to treat SVT. Preparing adenosine for oral administration is incorrect and requires clarification to ensure the patient's safety and effective treatment.
Choice E reason: Preparing for adenosine IV is appropriate as it is the correct route of administration for treating SVT.
Correct Answer is D
Explanation
Choice A reason: Pyridostigmine is a medication used to treat myasthenia gravis by inhibiting acetylcholinesterase, but it is not used as an antidote for edrophonium overdose. Pyridostigmine helps improve muscle strength by increasing the amount of acetylcholine available at the neuromuscular junction.
Choice B reason: Flumazenil is an antidote for benzodiazepine overdose and has no effect on edrophonium. It works by competitively inhibiting the actions of benzodiazepines on the GABA receptor.
Choice C reason: Acetylcholine itself is not used as an antidote for edrophonium overdose. Administering acetylcholine would not counteract the effects of excessive acetylcholinesterase inhibition caused by edrophonium.
Choice D reason: Atropine is the correct antidote for edrophonium overdose. Atropine is an anticholinergic drug that can counteract the excessive accumulation of acetylcholine caused by edrophonium, thereby alleviating symptoms such as bradycardia and muscle weakness.
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