The nurse assesses a patient who had a total abdominal hysterectomy 2 days ago. Which information about the patient is most important to communicate to the health care provider?

The 24-hour oral intake is 600 ml greater than the total output.

The patient's temperature is 100.3" F 137.9" C).

The patient reports abdominal pain at level 6 (0 to 10 scale) when ambulating

The patient's calf is swollen, warm, and painful.

Answer and Explanation

The Correct Answer is D

These symptoms suggest the possibility of deep vein thrombosis (DVT), which is a potentially serious complication following surgery. DVT occurs when a blood clot forms in a deep vein, commonly in the lower extremities. The symptoms of a swollen, warm, and painful calf can indicate the presence of a DVT.

DVT is a medical emergency that requires immediate attention and intervention to prevent further complications such as a pulmonary embolism (where the blood clot travels to the lungs). Prompt evaluation and treatment, such as anticoagulant therapy, are necessary to prevent complications

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Correct Answer is B

Explanation

Opioid tolerance occurs when the body becomes less responsive to the effects of opioids over time. This means that higher doses of the medication are needed to achieve the same level of pain relief that was previously achieved with lower doses. Opioid tolerance is a common phenomenon in long-term opioid therapy and can occur in patients who have been using opioids for an extended period.

Opioid abstinence syndrome, also known as opioid withdrawal, refers to the set of symptoms that occur when a person abruptly stops or reduces their use of opioids after developing physical dependence.

Opioid toxicity refers to the harmful effects that occur when an individual takes an excessive dose of opioids, leading to potentially life-threatening complications. It is characterized by symptoms such as respiratory depression, sedation, pinpoint pupils, and decreased level of consciousness.

Opioid addiction is a complex condition characterized by compulsive drug-seeking behavior, loss of control over opioid use, and continued use despite negative consequences.

A. Out of bed three times daily & ad lib. B. Assess neurological status every 4 hours. C. Logroll only to change position. D. Monitor vital signs every 4 hours.

Correct Answer is A

Explanation

After spinal fusion surgery, it is important to limit the patient's activity and movement to allow for proper healing and to prevent complications. The order to have the patient out of bed three times daily and ad lib (as desired) is not appropriate immediately after surgery.

The other orders listed are appropriate for the postoperative care of a patient who has undergone spinal fusion surgery:

Assess neurological status every 4 hours: This is important to monitor for any changes in neurological function, which could indicate complications such as nerve damage or spinal cord compression.
Logroll only to change position: Logrolling is a technique used to move patients with spinal fusion surgery while keeping their spine aligned and minimizing stress on the surgical site. This order is appropriate to ensure proper positioning and prevent injury to the surgical area.
Monitor vital signs every 4 hours: Monitoring vital signs helps to assess the patient's overall condition and detect any signs of complications such as bleeding or infection.

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The nurse assesses a patient who had a total abdominal hysterectomy 2 days ago. Which information about the patient is most important to communicate to the health care provider?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The nurse is caring for an adolescent diagnosed with scoliosis who just arrived to the floor from the recovery room after a Spinal fusion surgery. The nurse should question which physician order?

Correct Answer is A

Explanation

A nurse is caring for a child who has acute appendicitis. Which of the following results should the nurse anticipate when reviewing the patient's laboratory values?

The client is to receive an antibiotic 1 gram in 500 ml of fluid intravenously over 2 hours. At what rate will the nurse set the IV pump in mL/hr.? (Answer as whole number)

The nurse is assessing a patient's postoperative wound and finds it has separated from the suture line with extrusion of the intestine through the opening. How does the nurse document this finding?

The nurse suspects the 4-year-old client is having a recurrence of minimal change nephrotic syndrome (MCNS). Which signs or symptoms would the nurse observe in the client?

Which assessment information is most important for the nurse to obtain when evaluating whether treatment of a patient with anaphylactic reaction has been effective?

A client is admitted with Diabetic Ketoacidosis (DKA). The client asks the nurse "Why did this happen? I have been taking my insulin as prescribed and following my diet carefully" The nurse reviews the client's chart and realizes that this emergency may be related to which common causes of DKA?

The nurse is caring for an infant with a hip spica cast who has just returned from surgery. Which nursing action will be priority for this patient?

A 5-year-old with an arm cast from a fractured wrist complains of itching under his cast. The nurse knows cast care teaching for the parent has been successful when the parent states: