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 C

Explanation

A. Encouraging the client to eat even if nauseated may worsen nausea and discomfort. It's essential to respect the client's feelings of nausea and provide strategies to alleviate symptoms before eating.
B. Serving hot foods at mealtime may exacerbate nausea in some individuals. It's generally recommended to serve foods at room temperature or slightly chilled to minimize nausea.
C. Providing low-fat carbohydrates with meals, such as crackers or bread, can help settle the stomach and provide easily digestible energy. Complex carbohydrates are less likely to exacerbate nausea compared to fatty or spicy foods.
D. Limiting fluid intake between meals may help reduce nausea in some individuals, but it's important to ensure adequate hydration throughout the day. Encouraging small, frequent sips of clear fluids may be beneficial for managing nausea and preventing dehydration.

A. “A low-protein diet should be followed for 3 months prior to conception." B. "Breastfeeding will prevent your baby from developing PKU." C. "Serum bilirubin should be monitored one to two times per month during pregnancy." D. "Diet sodas should not be consumed more than two or three times per week."

Correct Answer is A

Explanation

A. For individuals with PKU who are planning a pregnancy, it is recommended to follow a low- protein diet prior to conception to minimize the risk of maternal phenylalanine levels causing harm to the developing fetus.

B. Breastfeeding does not prevent a baby from developing PKU. Babies born to mothers with PKU need special formula to avoid the harmful effects of high levels of phenylalanine in breast milk.
C. Monitoring serum bilirubin levels is not specific to PKU management during pregnancy.

D. Consumption of diet sodas is not directly related to PKU management during pregnancy.

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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 planning eating strategies with a client who has nausea from equilibrium imbalance. Which of the following strategies should they recommend?

Correct Answer is C

Explanation

A nurse is providing anticipatory guidance to a client who has phenylketonuria (PKU) and is planning a pregnancy. Which of the following information should the nurse include in the discussion?

Correct Answer is A

Explanation

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