A nurse is teaching a newly licensed nurse about the adverse eﬀects of medications. The nurse should include that which of the following medications can cause constipation?

Cisapride

Magnesium-containing antacids

Opioid analgesics

Statins

Anticholinergic/antispasmodic

Answer and Explanation

The Correct Answer is C

Choice A reason: Cisapride is a prokinetic agent that increases gastrointestinal motility and is unlikely to cause constipation.

Choice B reason: Magnesium-containing antacids typically cause diarrhea rather than constipation.

Choice C reason: Opioid analgesics are known to slow gastrointestinal motility, which can lead to constipation, making this the correct answer.

Choice D reason: Statins are used to lower cholesterol and are not commonly associated with causing constipation.

Choice E reason: Anticholinergic/antispasmodic medications can cause constipation due to their action on the nervous system, which reduces muscle contractions in the gastrointestinal tract.

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Correct Answer is A

Explanation

Choice A reason: Elevating the patient in a high Fowler's position can help improve lung expansion and oxygenation, and using an incentive spirometer along with coughing can help prevent atelectasis and pneumonia, which are common postoperative complications.

Choice B reason: Increasing oxygen to 70% without a specific indication could lead to oxygen toxicity, especially without assessing the patient's current oxygenation status.

Choice C reason: Switching to a rebreather mask is not indicated based on the given ABG results and could lead to CO2 retention.

Choice D reason: Positioning the patient prone and performing postural drainage are not typically first-line interventions for a patient one day post-thoracotomy and could be contraindicated due to the recent surgery.

A. The patient voluntarily agrees to the consent form. B. Clarity of the surgical procedure consented to. C. Documentation that treatment is provided. D. The patient understands the surgical procedure.

Correct Answer is D

Explanation

Choice A reason: While voluntary agreement is essential, understanding the procedure is the core of informed consent.

Choice B reason: Clarity is important, but it is not the sole requirement; the patient's understanding is crucial.

Choice C reason: Documentation is part of the process, but it does not replace the need for the patient's understanding.

Choice D reason: For informed consent to be valid, the patient must understand the nature and risks of the surgical procedure, which is the most critical aspect.

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A nurse is teaching a newly licensed nurse about the adverse eﬀects of medications. The nurse should include that which of the following medications can cause constipation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is one day postoperative following an open thoracotomy. The patient is receiving oxygen mist at 40% by Venturi mask. The patient's ABG results are: pH 7.31, PaO2 93 mm Hg, PaCO2 50 mm Hg, HCO3 25 mEq/L. Which of the following is an appropriate action for the nurse?

Correct Answer is A

Explanation

A nurse is obtaining informed consent from a patient prior to surgery. Which of the following is necessary for informed consent to be valid?

Correct Answer is D

Explanation

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Based on the ABG results: pH 7.33, CO2: 50, HCO3: 22, what acid-base imbalance is present?

A nurse is reviewing the medical history of a patient who is preoperative for surgery. Which of the following findings places the patient at risk for a postoperative complication?