A patient is admitted to the hospital for a splenectomy. The nurse understands that the health-care provider prescribes an injection of vitamin K prior to surgery for which action?

To reduce risk of infection

To dry gastric secretions

To promote postoperative healing

To correct a clotting problem

Answer and Explanation

The Correct Answer is D

A.   While vitamin K plays a role in immune function, its administration prior to surgery primarily aims to correct potential clotting abnormalities rather than prevent infection.

B.   Vitamin K does not affect gastric secretions. Its role in this context is unrelated to gastric function.
C.   While vitamin K is involved in various physiological processes, its administration prior to surgery is primarily aimed at preventing bleeding complications by ensuring adequate clotting factor synthesis.
D.   Vitamin K is essential for the synthesis of clotting factors in the liver.

Administering vitamin K prior to surgery helps ensure adequate levels of clotting factors, reducing the risk of bleeding during and after the procedure.

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Correct Answer is A

Explanation

A. Pulseless ventricular tachycardia requires immediate defibrillation to restore a perfusing rhythm.
B. Antiarrhythmic medications are not typically effective for pulseless ventricular tachycardia as the heart is not effectively pumping blood.
C. Synchronized cardioversion is used for certain tachyarrhythmias with a pulse but is not appropriate for pulseless ventricular tachycardia.
D. A pacemaker is not indicated for pulseless ventricular tachycardia as it does not address the underlying issue of cardiac arrest.

A. dysuria B. Ammonia-smelling urine C. frequency D. amber urine E. urgency

Correct Answer is ["A","C","E"]

Explanation

A. Dysuria, or painful urination, is a common symptom of a urinary tract infection (UTI) due to irritation of the urinary tract lining by bacteria.
B. While strong-smelling urine can occur with a UTI, it's not specific to UTIs and can have other causes. Ammonia-smelling urine can be indicative of a UTI, especially if accompanied by other symptoms such as dysuria or frequency.
C. Increased frequency of urination can be a symptom of a UTI as the body attempts to flush out the bacteria causing the infection.
D. Amber urine color can result from concentrated urine due to dehydration but is not specific to a UTI.

E. Urinary urgency, or a sudden and compelling need to urinate, can be a symptom of a UTI due to irritation of the bladder lining by bacteria

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A patient is admitted to the hospital for a splenectomy. The nurse understands that the health-care provider prescribes an injection of vitamin K prior to surgery for which action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse responds to a call for assistance with a patient in pulseless ventricular tachycardia. The nurse prepares for what first-line treatment for this rhythm?

Correct Answer is A

Explanation

The nurse is collecting data on a patient who has presented to the HCP's office with a fever. Which of these findings are indicators of a UTI to the nurse? Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

Which of the following beverages should a patient with Hodgkin's disease be instructed to avoid?

A nurse is reinforcing discharge teaching with a client who is postoperative for a traditional cholecystectomy and has a T-tube in place. Which of the following instructions should the nurse include in the teaching?

What discharge teaching is most important to help the patient who has had a splenectomy prevent infection?

The nurse is caring for a 32-year-old female patient coming to the clinic with peripheral edema, periorbital edema, and flank pain. Use the chart to answer the questions. Exhibits Which items should the nurse include when teaching the patient and family about dialysis? Select all that apply.

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A nurse is reinforcing teaching with a client who has cholelithiasis and is scheduled for an endoscopic retrograde cholangiopancreatography. Which of the following statements made by the client indicates an understanding of the teaching?

A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take?