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?
Omeprazole
Zolmitriptan
Prednisone
Verapamil
The Correct Answer is C
Prednisone is a corticosteroid medication that is commonly prescribed for various conditions due to its anti-inflammatory and immunosuppressive effects. However, corticosteroids can impair wound healing by reducing the body's inflammatory response, delaying collagen synthesis, and weakening the tensile strength of the wound. This increases the risk of wound dehiscence, which is the separation or opening of surgical incisions.
Omeprazole is a proton pump inhibitor used to reduce stomach acid production and prevent gastric ulcers but does not directly affect wound healing or increase the risk of wound dehiscence.
Zolmitriptan is a medication used for the acute treatment of migraines and does not directly affect wound healing or increase the risk of wound dehiscence.
Verapamil is a calcium channel blocker used to treat high blood pressure and certain heart conditions. It does not directly affect wound healing or increase the risk of wound dehiscence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Bananas: Bananas are a suitable choice for a client taking digoxin and furosemide. Digoxin is a medication commonly prescribed for heart failure and certain heart rhythm disorders, and maintaining adequate potassium levels is important while taking this medication. Bananas are a good source of potassium and can help prevent or correct low potassium levels (hypokalemia), which can be a potential side effect of both digoxin and furosemide.
Green beans: Green beans can be included in the client's diet when taking digoxin and furosemide. While they are a healthy vegetable choice, they do not have a direct impact on the potassium levels affected by these medications.
Blueberries: Blueberries are a nutritious fruit choice, but they do not have a specific relevance to the client's medication regimen of digoxin and furosemide. They can be part of a balanced diet but are not specifically recommended or contraindicated in this context.
Cucumbers: Cucumbers are a refreshing vegetable choice, but they do not have a direct impact on the potassium levels affected by digoxin and furosemide. While maintaining hydration is important, other foods would be more relevant for addressing potassium needs.
Correct Answer is D
Explanation
A. Obtain the client's electrolyte levels every 4 hr.While monitoring electrolyte levels is important, obtaining them every 4 hours is excessive for a client who is stable and just starting enteral feedings. Typically, electrolyte levels are monitored based on clinical condition and provider orders.
B. Keep the client's head elevated at 15° during feedings.The client's head should be elevated at least 30 to 45 degrees during enteral feedings to reduce the risk of aspiration and improve gastric emptying. A position of only 15 degrees is insufficient for safety.
C. Measure the client's gastric residual every 12 hr.Gastric residuals should be assessed more frequently, especially in the initial stages of enteral feeding. It is typically recommended to check gastric residuals every 4 to 6 hours to ensure proper gastric emptying and tolerance to the feedings.
D. Flush the client's tube with 30 mL of water every 4 hr.Flushing the tube with water every 4 hours is a standard practice to maintain tube patency, prevent clogging, and ensure that the client receives adequate hydration.
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