A nurse is reviewing the medication administration record for a client who is 2 days postoperative following abdominal surgery. The nurse should recognize that which of the following medications places the client at risk for wound dehiscence?

Omeprazole

Prednisone

Zolmitriptan

Verapamil

Answer and Explanation

The Correct Answer is B

A.   Omeprazole is a proton pump inhibitor used to reduce stomach acid and treat conditions such as ulcers and gastroesophageal reflux disease. It is not typically associated with an increased risk of wound dehiscence.
B.   Prednisone is a corticosteroid that can impair wound healing and increase the risk of wound dehiscence, particularly in high doses or when used for prolonged periods.

C.   Zolmitriptan is a medication used to treat migraine headaches and is not associated with an increased risk of wound dehiscence.
D.   Verapamil is a calcium channel blocker used to treat hypertension and certain heart rhythm disorders. It is not typically associated with an increased risk of wound dehiscence.

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Correct Answer is A

Explanation

A. Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia, which can lead to symptoms such as increased thirst. Notifying the provider of increased thirst can help monitor for potential electrolyte imbalances.
B. Consuming foods high in potassium can exacerbate hyperkalemia, which is a potential side effect of spironolactone. Clients prescribed spironolactone are typically advised to avoid potassium-rich foods.
C. Using a salt substitute to season foods can increase sodium intake, which may counteract the effects of spironolactone and increase the risk of fluid retention and hypertension.
D. Taking spironolactone at bedtime is not typically recommended. It is usually taken in the morning to avoid disrupting sleep due to increased urination.

A. 3 oz turkey B. 1/2 cup cooked peas C. 1 cup low-fat plain yogurt D. 1/2 cup cooked white rice

Correct Answer is B

Explanation

A. Turkey is a lean source of protein but is not particularly high in fiber.

B. Cooked peas are high in fiber and are a good choice for individuals with diverticular disease, as fiber can help prevent constipation and reduce the risk of diverticulitis flare-ups.
C. Low-fat plain yogurt is a good source of protein and calcium but is not particularly high in fiber.

D. Cooked white rice is low in fiber compared to other grains and legumes and may not provide significant benefits for individuals with diverticular disease.

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A nurse is reviewing the medication administration record for a client who is 2 days postoperative following abdominal surgery. The nurse should recognize that which of the following medications places the client at risk for wound dehiscence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions for a client who has a new prescription for spironolactone. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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