A nurse is planning care for a male client who is postoperative following a hernia repair. Which of the following actions should the nurse include in the plan?

Elevate the client's scrotum on a pillow.

Restrict fluids to 1,200 mL per day.

Place a warm pack on the incisional area.

Encourage the client to sit to void.

Answer and Explanation

The Correct Answer is A

Rationale:
A. Elevate the client's scrotum on a pillow: After hernia repair, scrotal elevation helps reduce swelling and promote venous return, minimizing postoperative edema and discomfort. Supporting the scrotum with a pillow or rolled towel also decreases tension on the incision site, enhancing comfort and healing.

B. Restrict fluids to 1,200 mL per day: Fluid restriction is not indicated for clients following hernia repair unless there is a concurrent condition such as renal or cardiac impairment. Adequate hydration is essential to prevent constipation and promote tissue recovery after surgery.

C. Place a warm pack on the incisional area: Warm packs should be avoided immediately after surgery because they can increase local blood flow and risk of bleeding at the incision site. Cold packs may be used instead to reduce swelling and provide comfort.

D. Encourage the client to sit to void: Male clients are encouraged to stand when voiding to reduce intra-abdominal pressure on the surgical site. Sitting to void may increase pressure on the repaired area, potentially causing discomfort or strain on the incision.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Rationale:
A. Ensure the medication is administered within 3 hr of the scheduled time: Medications should typically be administered within 30 minutes before or after the scheduled time, not within 3 hours. Administering too early or too late can reduce therapeutic effectiveness or cause harm, depending on the medication type.

B. Use two identifiers to verify the client’s identity: Verifying identity with two identifiers—such as name and date of birth—ensures the right client receives the right medication. This practice aligns with the “five rights” of medication administration and is a critical step in preventing medication errors.

C. Document administration of the client’s routine medications at the beginning of the shift: Documentation should occur immediately after medication administration, not beforehand. Charting in advance increases the risk of errors and creates false records if the medication is delayed or omitted.

D. Check the label of the medication twice prior to administration: The nurse must check the medication label three times—when removing it from storage, before preparing it, and immediately before administration. Checking only twice does not meet safety standards.

A. A client who has decreased urine cortisol levels B. A client who has decreased interleukin-6 levels C. A client who has decreased C-reactive protein levels D. A client who has decreased serotonin levels

Correct Answer is D

Explanation

Rationale:
A. A client who has decreased urine cortisol levels: Hypercortisolism or dysregulated cortisol is more commonly linked to depressive symptoms, so decreased levels would not indicate a primary need for antidepressant therapy.

B. A client who has decreased interleukin-6 levels: Interleukin-6 is an inflammatory marker, and elevated levels have been associated with depression. Decreased IL-6 does not indicate inflammation-related depression or a need for antidepressants.

C. A client who has decreased C-reactive protein levels: Low C-reactive protein indicates minimal systemic inflammation. Since elevated CRP can correlate with depressive states, decreased CRP does not identify a candidate for antidepressant therapy.

D. A client who has decreased serotonin levels: Reduced serotonin is linked to depressive disorders. Antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), aim to increase serotonin availability in the brain, making this client an appropriate candidate for therapy.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is planning care for a male client who is postoperative following a hernia repair. Which of the following actions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer medication to a client. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is discussing antidepressants with a newly licensed nurse. Which of the following clients should the nurse identify as being a candidate for antidepressant therapy?

Correct Answer is D

Explanation

A nurse is assessing a client who has a brain tumor and is receiving palliative care. Which of the following findings indicates the nurse should administer pain medication?

A nurse is admitting a client who has a history of atrial fibrillation. Which of the following conditions should the nurse recognize atrial fibrillation places the client at risk for?

A nurse is caring for a client who is in the latent phase of labor and has decided to have a natural childbirth. Which of the following coping mechanisms should the nurse suggest?

A nurse is caring for a toddler in the outpatient setting. Exhibits Complete the following sentence by using the lists of options. The nurse recognizes the toddler has likely developed dropdown due to dropdown.

A nurse on a medical-surgical unit is notified that a mass casualty event has occurred in the community. Which of the following actions should the nurse plan to take?

A nurse is initiating bladder retraining for a client who has urge urinary incontinence. Which of the following instructions should the nurse give the client?