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 B

Explanation

Choice A reason: Exenatide should be administered within 60 minutes before the morning and evening meals, not within 30 minutes before or after a meal.

Choice B reason: Notifying the healthcare provider if abdominal pain occurs is important because exenatide can cause pancreatitis, and abdominal pain may be a symptom of this condition.

Choice C reason: Exenatide does not act in the same way as insulin. It is an incretin mimetic that enhances glucose-dependent insulin secretion, among other actions.

Choice D reason: There are precautions when taking exenatide with other medications, especially those that affect blood glucose levels, so this statement is incorrect.

A. Encourage rest until the analgesic becomes effective. B. Position bedside table so the client can lean across it. C. Raise head of bed until to a 90-degree angle. D. Place bed in a reverse Trendelenburg position.

Correct Answer is B

Explanation

Choice A reason: Encouraging rest may not relieve the pain; sitting up and leaning forward is a common position for relief in pancreatitis.

Choice B reason: Positioning the bedside table allows the client to lean forward comfortably and may help alleviate the pain.

Choice C reason: Raising the head of the bed to a 90-degree angle may not provide the same relief as leaning forward.

Choice D reason: Reverse Trendelenburg position is not specifically indicated for pancreatitis pain relief.

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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

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