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Exhibits

The nurse is stabilizing the client and preparing her for surgery.
Which goals should the nurse prioritize in the plan of care for the client while in the emergency department (ED)? Select all that apply.

Infection prevention related to appendicitis

Relief of acute pain

Client education about diagnosis and plan of care

Effective coping with illness-related anxiety

Prevention of deep vein thrombosis related to immobility

Promotion of bowel routine

Fluid volume management

Answer and Explanation

Correct Answer : A,B,C,D,G

Choice A reason:

Infection prevention is crucial in managing appendicitis. Administering preoperative antibiotics, such as cefazolin, helps prevent surgical site infections and other complications. This aligns with standard care protocols for appendicitis patients.

Choice B reason:

Relieving acute pain is a priority in appendicitis care. Administering analgesics, including opioids, acetaminophen, and NSAIDs, effectively manages pain and reduces inflammation. Providing distraction techniques can also help alleviate discomfort until pain relief is achieved.

Choice C reason:

Client education about the diagnosis and plan of care is essential. Informing the patient about appendicitis, the surgical procedure, and postoperative expectations reduces anxiety and promotes cooperation. Effective communication enhances patient outcomes and satisfaction.

Choice D reason:

Effective coping with illness-related anxiety is important. Providing emotional support and addressing concerns can help the patient manage anxiety associated with the diagnosis and impending surgery. This approach contributes to overall well-being and recovery.

Choice G reason:

Fluid volume management is vital in appendicitis care. Administering intravenous fluids, such as Ringer's lactate, maintains hydration, supports renal function, and prepares the patient for surgery. Proper fluid balance is essential for optimal physiological function.

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Correct Answer is B

Explanation

Choice A reason: This option has some errors in the text. The correct explanation should note that carbidopa-levodopa does help reduce the tremors caused by Parkinson's disease, but it primarily works by increasing dopamine levels rather than by assisting other medications. The choice does not clearly state the main mechanism of action of carbidopa-levodopa.

Choice B reason: Carbidopa-levodopa is a combination drug used to treat symptoms of Parkinson's disease. Levodopa is converted into dopamine in the brain, helping to replenish the depleted dopamine levels. Carbidopa helps to prevent the breakdown of levodopa before it reaches the brain. This increases the amount of dopamine available, which is crucial for muscle function and reducing symptoms like tremors and rigidity.

Choice C reason: This option is incorrect because carbidopa-levodopa does not work by reducing inflammation. Instead, it focuses on restoring the balance of dopamine in the brain. Parkinson's disease is primarily a neurodegenerative disorder, not an inflammatory one, so this explanation does not align with the drug's mechanism of action.

Choice D reason: This option is also incorrect as it suggests that carbidopa-levodopa works by slowing the degeneration of the myelin sheath. Parkinson's disease involves the loss of dopamine-producing neurons, not the degeneration of myelin. Therefore, this explanation does not accurately reflect the drug's purpose or mechanism.

A. Fasting serum glucose 140 mg/dL (7.77 mmol/L). B. Glycosylated hemoglobin (A1c) 6.9%. C. Serum creatinine 1.6 mg/dL (141.44 umol/L). D. White blood cell (WBC) 11,000/mm3 (11 x 10^9/L).

Correct Answer is C

Explanation

Choice A reason: A fasting serum glucose level of 140 mg/dL (7.77 mmol/L) indicates hyperglycemia, which is elevated but not an immediate life-threatening complication. It suggests poor blood glucose control but does not directly indicate a complication specific to type 2 diabetes and hypertension. This value should prompt further evaluation and adjustments in diabetes management, but it is not as critical as other potential findings.

Choice B reason: A glycosylated hemoglobin (A1c) level of 6.9% is within the range of good diabetic control. While it indicates the client has been managing their blood glucose levels relatively well over the past few months, it does not suggest a current complication. This value is used to assess long-term glucose control rather than acute issues.

Choice C reason: A serum creatinine level of 1.6 mg/dL (141.44 umol/L) is elevated and indicates impaired kidney function. Clients with type 2 diabetes mellitus and hypertension are at increased risk for kidney disease, known as diabetic nephropathy or hypertensive nephropathy. Elevated creatinine levels suggest that the kidneys are not filtering waste products effectively, which is a significant complication that requires immediate attention and intervention.

Choice D reason: A white blood cell (WBC) count of 11,000/mm3 (11 x 10^9/L) is slightly elevated and may suggest an infection or inflammation. However, it is not a specific complication related to type 2 diabetes mellitus and hypertension. Elevated WBC counts warrant further investigation to identify any underlying infection or inflammatory process, but it is not as directly related to diabetic or hypertensive complications as elevated serum creatinine.

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Exhibits The nurse is stabilizing the client and preparing her for surgery. Which goals should the nurse prioritize in the plan of care for the client while in the emergency department (ED)? Select all that apply.

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Naxlex Comprehensive Predictor Exams

When teaching a client with Parkinson's disease, which rationale for the prescription of carbidopa-levodopa should the nurse include?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

Exhibits The nurse is stabilizing the client and preparing her for surgery. Which goals should the nurse prioritize in the plan of care for the client while in the emergency department (ED)? Select all that apply.

The nurse is assessing a client who is one day postoperative parathyroidectomy and finds that the client is experiencing stridor. After notifying the healthcare provider (HCP), the nurse should prepare for which procedure?

A client who works at a computer most of the working day comes to the clinic reporting pain in both hands that causes the client to wake during the night. Which action should the nurse implement to assess for carpal tunnel syndrome?

Exhibits The nurse has identified the priority problem for the client and now needs to determine proper care interventions. Based on the client's history and assessment data, which actions should the nurse anticipate? Select all that apply.

A client with rheumatoid arthritis has an elevated serum rheumatoid factor. Which interpretation of this finding should the nurse make?

The nurse assesses an adult client 24 hours after a bowel exploration and formation of a sigmoid colostomy. Which assessment finding should be reported to the surgeon immediately?

A client with oral cancer is receiving radiotherapy (RT) prior to surgery. Which intervention should the nurse teach the client to implement in managing mucositis related to RT?

Exhibits

The nurse is stabilizing the client and preparing her for surgery.
Which goals should the nurse prioritize in the plan of care for the client while in the emergency department (ED)? Select all that apply.