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.

Answer and Explanation

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.

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Correct Answer is ["3.3"]

Explanation

Calculation Steps:

Step 1: Convert weight from pounds to kilograms: 22 pounds ÷ 2.2 = 10 kg. Result = 10 kg.

Step 2: Calculate the total daily dose of amoxicillin: 50 mg/kg/day × 10 kg = 500 mg/day. Result = 500 mg/day.

Step 3: Calculate the dose per administration: 500 mg/day ÷ 3 doses/day = 166.7 mg/dose. Result = 166.7 mg/dose.

Step 4: Determine how many mL are needed for each dose: 250 mg/5 mL = 50 mg/mL, 166.7 mg ÷ 50 mg/mL = 3.3 mL. Result = 3.3 mL.

A. Explain the need for skin exposure to sunlight without sunscreen. B. Teach the need for dietary and supplemental vitamin D. C. Instruct the client in the use of muscle strengthening exercises. D. Encourage progressive active range of motion.

Correct Answer is B

Explanation

Choice A reason: Explaining the need for skin exposure to sunlight without sunscreen is not advisable because it can increase the risk of further skin damage or skin cancer, especially in a client with a history of severe burns. Sunscreen should be used to protect the skin from harmful UV rays.

Choice B reason: Teaching the need for dietary and supplemental vitamin D is important because clients with extensive burns often have impaired vitamin D synthesis due to reduced exposure to sunlight and possible nutritional deficiencies. Vitamin D is essential for bone health and muscle function.

Choice C reason: Instructing the client in the use of muscle strengthening exercises is beneficial for overall health, but it does not directly address the specific issue of bone pain and muscle weakness related to potential vitamin D deficiency.

Choice D reason: Encouraging progressive active range of motion is important for maintaining joint flexibility and function, but it does not directly address the underlying cause of bone pain and muscle weakness in this scenario.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["3.3"]

Explanation

One year after being discharged from the burn trauma unit, a client with a history of 40% full-thickness burns is admitted with bone pain and muscle weakness. Which intervention should the nurse include in this client's plan of care?

Correct Answer is B

Explanation

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