A patient is scheduled for a diagnostic test the following day and to be kept NPO (nothing by mouth) after midnight. What is the best nursing action?
Call the health-care provider to see if intravenous fluids are needed.
Increase fluid intake prior to midnight to make sure the patient remains hydrated.
Remove the patient's water pitcher at the bedside shortly before midnight.
This is an example of a STAT order and should be documented in the patient's chart.
The Correct Answer is C
A. Call the health-care provider to see if intravenous fluids are needed: This is not usually necessary unless the patient has a condition that requires it. It's more important to ensure NPO status is maintained.
B. Increase fluid intake prior to midnight to make sure the patient remains hydrated: This could be done, but it is less important than ensuring the patient follows the NPO instructions.
C. Remove the patient's water pitcher at the bedside shortly before midnight: This is the correct answer. Removing the pitcher helps prevent the patient from accidentally drinking water and violating NPO status.
D. This is an example of a STAT order and should be documented in the patient's chart: NPO orders are not STAT orders; they are routine orders related to the preparation for a procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Biotransformation: This refers to the chemical alteration of a drug in the body, usually by the liver, into metabolites. It does not describe the movement of the drug to the target organ.
B. Distribution: This is the correct answer. Distribution refers to the process by which a drug is transported by the blood to the target organ or tissues after it is absorbed into the bloodstream.
C. Excretion: This is the process of eliminating waste products, including drugs, from the body, typically through the kidneys. It does not involve the movement to the target organ.
D. Absorption: This refers to the process by which a drug enters the bloodstream from the site of administration. It precedes distribution but does not describe the movement to the target organ.
Correct Answer is C
Explanation
A. Upset stomach: An upset stomach is not typically associated with anaphylaxis. It could be a symptom of many other less severe conditions.
B. Hallucinations: Hallucinations are not a common symptom of anaphylaxis. They might occur in other medical conditions or as a side effect of certain drugs.
C. Wheezing: Wheezing is a classic sign of anaphylaxis, indicating airway constriction due to a severe allergic reaction.
D. Bleeding gums: Bleeding gums are not a sign of anaphylaxis. They may indicate a different medical issue, such as a blood clotting disorder.
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