A nurse is reviewing the medication administration record for a client who is 2 days postoperative following abdominal surgery. The nurse should recognize which of the following medications places the client at risk for wound dehiscence.
Verapamil.
Prednisone.
Omeprazole.
Zolmitriptan.
The Correct Answer is B
Choice A rationale:
Verapamil is a calcium channel blocker commonly used to treat high blood pressure and angina. It doesn't significantly impact wound healing or increase the risk of wound dehiscence.
Choice B rationale:
Prednisone is a corticosteroid that suppresses the immune system and has anti-inflammatory effects. While it can be crucial for managing postoperative inflammation, its immunosuppressive nature can hinder the normal wound-healing process, increasing the risk of wound dehiscence.
Choice C rationale:
Omeprazole is a proton pump inhibitor that reduces stomach acid production. While it can influence the gastric environment, it doesn't directly impact wound healing or the risk of wound dehiscence.
Choice D rationale:
Zolmitriptan is a medication used to treat migraines. It doesn't interfere with wound healing or increase the risk of wound dehiscence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Serving hot foods at mealtime might worsen the client's nausea, as strong odors and high temperatures can exacerbate feelings of nausea.
Choice B rationale:
Limiting fluid intake between meals can help prevent overfilling the stomach, which can contribute to nausea in clients with equilibrium imbalances. Consuming fluids between meals, rather than with meals, can also aid in better digestion and reduce the likelihood of nausea.
Choice C rationale:
Encouraging the client to eat even if nauseated could potentially worsen their symptoms and lead to an aversion to eating due to the association of food with nausea.
Choice D rationale:
Providing low-fat carbohydrates with meals may be beneficial for some clients, but it doesn't directly address the issue of nausea related to equilibrium imbalance. The focus should be on strategies that prevent nausea rather than specific meal components.
Correct Answer is B
Explanation
Choice A rationale:
Having the client swallow medications with the supplement might not be appropriate, as some medications may interact with the nutritional supplement or alter its effectiveness. It's important to assess each medication's compatibility with the supplement and consult with a pharmacist if needed.
Choice B rationale:
Enhancing the flavor of supplements by serving them warm can improve their palatability and encourage the client to consume them. Cold supplements might be less appealing, and warming them could make them more enjoyable, especially for older adults who might have altered taste perceptions.
Choice C rationale:
Leaving an opened supplement at the bedside throughout the day is not recommended. Nutritional supplements should be consumed within a specified time frame to ensure their safety and efficacy. Opened liquids are susceptible to contamination and spoilage, which could be harmful to the client.
Choice D rationale:
Offering the supplement as a substitute for one of the client's daily meals is not a suitable approach without proper guidance from a healthcare provider or registered dietitian. High-calorie liquid supplements are intended to supplement the client's regular meals, not replace them entirely. Adequate overall nutrition is essential for the client's well-being.
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