On Day 2 at 16:00, the client is kept NPO.
An exploratory laparotomy is scheduled for tomorrow at 06:00. Metoclopramide 10 mg IV every 6 hours and Cefazolin 2g IV on call for surgery are ordered.
Which of the following actions should the nurse assist with?

Discontinue the nasogastric tube.

Provide the client with ice chips.

Start the prescribed antibiotic.

Reinforce preoperative teaching.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Discontinuing the nasogastric tube is not the best action to take at this time. The nasogastric tube may be necessary for decompression of the stomach or administration of medications and should not be removed without a specific order from the healthcare provider.

Choice B rationale

Providing the client with ice chips is not the most appropriate action. The client is kept NPO (nothing by mouth) before surgery to prevent aspiration during anesthesia. Therefore, giving the client ice chips could increase the risk of aspiration.

Choice C rationale

Starting the prescribed antibiotic is the correct action. Cefazolin is an antibiotic that is often given before surgery to prevent postoperative infections. Administering this medication as ordered can help to ensure that the client is adequately prepared for surgery.

Choice D rationale

While reinforcing preoperative teaching is an important part of nursing care, it is not the most immediate action that should be taken in this situation. The client’s physical preparation for surgery, including the administration of prescribed medications, should be prioritized.

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Correct Answer is A

Explanation

A sigmoidoscopy is a procedure used to examine the lower part of the colon (sigmoid colon and rectum). The knee-chest position allows for better visualization of the sigmoid colon by straightening the rectosigmoid junction.

Choice B rationale

The prone position is not typically used for sigmoidoscopy. This position does not provide optimal visualization of the sigmoid colon.

Choice C rationale

The orthopneic position, which involves sitting up and leaning forward, is not used for sigmoidoscopy.

Choice D rationale

The Trendelenburg position, which involves lying flat with the feet elevated higher than the head, is not used for sigmoidoscopy.

Correct Answer is []

Explanation

Based on the symptoms and information provided, the client is most likely experiencing Hypothyroidism. Here is how you can complete the diagram:

Condition:

A. Hypothyroidism

Actions:

A. Monitor the client for constipation
B. Reinforce teaching the client about levothyroxine

Parameters:

D. Monitor weight changes
E. Monitor heart rate

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On Day 2 at 16:00, the client is kept NPO.An exploratory laparotomy is scheduled for tomorrow at 06:00. Metoclopramide 10 mg IV every 6 hours and Cefazolin 2g IV on call for surgery are ordered.Which of the following actions should the nurse assist with?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a patient for a sigmoidoscopy. In which of the following positions should the nurse place the patient?

Correct Answer is A

Explanation

Correct Answer is []

Explanation

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On Day 2 at 16:00, the client is kept NPO.
An exploratory laparotomy is scheduled for tomorrow at 06:00. Metoclopramide 10 mg IV every 6 hours and Cefazolin 2g IV on call for surgery are ordered.
Which of the following actions should the nurse assist with?