The nurse is admitting a client from the postanesthesia care unit (PACU) to the postoperative surgical care unit. Which prescription should the nurse implement first?
Cefazolin 1 gram IV every 6 hours.
Complete blood cell count (CBC) in AM.
Advance from clear liquids as tolerated.
Straight catheterization if unable to void.
The Correct Answer is A
Choice A reason: Administering cefazolin, an antibiotic, is a priority to prevent or treat potential infections in the immediate postoperative period.
Choice B reason: Completing a CBC in the morning is important for ongoing assessment but is not an immediate priority.
Choice C reason: Advancing the diet as tolerated is important but can be done after ensuring infection prevention.
Choice D reason: Straight catheterization is necessary if the client is unable to void but is not the immediate priority compared to preventing infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Systemic inflammatory response is more characteristic of rheumatoid arthritis rather than osteoarthritis.
Choice B reason: Infectious process in the synovial fluid suggests septic arthritis, not osteoarthritis.
Choice C reason: Loss of bone mineral density is related to osteoporosis, not specifically to osteoarthritis.
Choice D reason: Osteoarthritis is characterized by the destruction of joint cartilage, leading to pain and stiffness in the affected joints.
Correct Answer is C
Explanation
Choice A reason: Evaluating a client's mobility progress involves assessment and clinical judgment, which are beyond the scope of practice for a UAP.
Choice B reason: Titrating oxygen requires clinical judgment and understanding of the client's condition, which should be performed by licensed nursing staff.
Choice C reason: Procuring platelet products from the blood bank is within the scope of practice for a UAP as it involves following protocols and retrieving items, not direct patient care.
Choice D reason: Determining the diameter and depth of a client's dermal ulcer involves assessment and clinical judgment, which should be performed by licensed nursing staff.
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