The nurse is admitting a client from the postanesthesia unit to the postoperative surgical care unit.
Which prescription should the nurse implement first?
Cefazolin 1 gram intravenously every 6 hours.
Complete blood cell count (CBC) in the morning.
Straight catheterization if unable to void.
Advance from clear liquids as tolerated.
The Correct Answer is A
The correct answer is A. The nurse should first implement the prescription of Cefazolin 1 gram intravenously every 6 hours.
This is because, on admission of a patient to the postanesthesia care unit (PACU) from surgery, the first priority is to assess the airway and breathing status. Administering Cefazolin, an antibiotic, helps prevent postoperative infections, which is crucial in the immediate postoperative period.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While it’s always important to inform the medical team of any allergies, there’s no specific link between shellfish or iodine allergies and cystoscopy.
Choice B rationale
After a cystoscopy, patients should report any instances of painful urination, blood in urine, or fever. These could be signs of complications such as infection.
Choice C rationale
There’s no specific need for patients to refrain from strenuous activities and sports for at least 2 weeks after a cystoscopy.
Choice D rationale
Remaining in a prone position for 24 hours after the procedure is not a standard recommendation following a cystoscopy.
Correct Answer is B
Explanation
Choice A rationale
Resuming normal physical activity is not the appropriate action when a patient with type 1 diabetes mellitus experiences increased thirst, an early sign of Diabetic Ketoacidosis (DKA). Physical activity can increase blood glucose levels, which could exacerbate the condition.
Choice B rationale
Administering a dose of regular insulin as prescribed is the most appropriate action to address increased thirst in a patient with type 1 diabetes and early signs of DKA. Elevated blood sugar levels are the cause of the increased thirst, and insulin helps lower blood sugar levels.
Choice C rationale
Consuming electrolyte fluid replacements is not the appropriate action when a patient with type 1 diabetes mellitus experiences increased thirst, an early sign of DKA. While hydration is important, it does not address the underlying issue of high blood sugar levels.
Choice D rationale
Monitoring urine output over the next 24 hours is not the appropriate action when a patient with type 1 diabetes mellitus experiences increased thirst, an early sign of DKA. While it is important to monitor urine output in patients with diabetes, it does not address the underlying issue of high blood sugar levels.
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