Please read the scenario below.
Nursing Documentation:. A 42-year-old female is evaluated in the emergency room.
She reports nausea, dyspepsia, and upper abdominal discomfort for the past 2 weeks.
The patient is scheduled for a Hepatobiliary iminodiacetic acid (HIDA) Scan.
The nurse initiates patient care while awaiting this procedure.
The nurse is aware of the nursing action indicated for this patient is:. Select from:
Clear Liquids diet
Regular diet
Maintain patient NPO
The Correct Answer is A
Choice A rationale:
A clear liquids diet is often recommended for patients with gastrointestinal issues as it allows the digestive system to rest. However, this diet lacks adequate nutrition for long-term use.
Choice B rationale:
A regular diet may exacerbate the patient’s abdominal discomfort, especially since her pain worsens after meals.
Choice C rationale:
Maintaining the patient NPO (nothing by mouth) is typically done before procedures that require anesthesia, such as a HIDA scan, to reduce the risk of aspiration.
So, the correct answer is Choice C: Maintain patient NPO. This is because the patient is scheduled for a HIDA scan, and it’s standard practice to keep patients NPO prior to such procedures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
While it’s generally recommended to take medication with food to prevent stomach upset, allopurinol does not need to be taken on an empty stomach.
Choice B rationale:
Aspirin can increase the risk of bleeding, and since allopurinol can occasionally cause blood disorders, it’s not recommended to take these two medications together without medical advice.
Choice C rationale:
Allopurinol tablets should not be crushed. They should be swallowed whole with a glass of water.
Choice D rationale:
Drinking plenty of fluids while taking allopurinol can help prevent the formation of kidney stones, a potential side effect of the medication.
Correct Answer is ["C","D"]
Explanation
Choice A rationale:
Hypoglycemia is a condition characterized by low blood sugar levels. However, the client is on Prednisone and NSAIDs, which do not typically cause hypoglycemia. Therefore, it’s unlikely that the client would develop this condition as a side effect of these medications.
Choice B rationale:
Weight loss could occur in some individuals taking Prednisone due to potential side effects like loss of appetite or stomach upset. However, it’s more common for individuals on Prednisone to experience weight gain due to increased appetite.
Choice C rationale:
Weight gain is a common side effect of Prednisone. This medication can cause increased appetite leading to weight gain. It can also cause fluid retention and redistribution of fat, particularly in the face, back of the neck, and abdomen.
Choice D rationale:
Hyperglycemia, or high blood sugar, is a potential side effect of Prednisone. This medication can cause an increase in blood sugar levels, which if persistently high, can lead to diabetes. Regular monitoring of blood glucose levels is recommended for clients on this medication.
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