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.

Answer and Explanation

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.

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Correct Answer is ["3742"]

Explanation

Step 1 is: Convert the child’s weight from pounds to kilograms. 1 pound is approximately 0.453592 kilograms, so 55 lb × 0.453592 kg/lb = 24.9476 kg.

Step 2 is: Calculate the total daily dosage. 150 mg/kg/day × 24.9476 kg = 3742.14 mg/day. Therefore, the nurse should administer approximately 3742 mg each day when rounded to the nearest whole number.

A. Instruct the patient that it is important to reduce the dose of the medication gradually. B. Advise the patient to stop taking the medication immediately. C. Encourage the patient to obtain a prescription for a benzodiazepine antagonist. D. Discuss with the patient that there may be a need for additional sleep if the feeling of fatigue is present the next day.

Correct Answer is A

Explanation

Choice A rationale

Instructing the patient that it is important to reduce the dose of the medication gradually is the best course of action. Temazepam is a benzodiazepine, and abrupt discontinuation can lead to withdrawal symptoms, which can be severe and include seizures. Therefore, it’s crucial to taper off the medication under the supervision of a healthcare provider.

Choice B rationale

Advising the patient to stop taking the medication immediately is not recommended due to the risk of withdrawal symptoms.

Choice C rationale

Encouraging the patient to obtain a prescription for a benzodiazepine antagonist is not typically the first line of action when discontinuing temazepam.

Choice D rationale

Discussing with the patient that there may be a need for additional sleep if the feeling of fatigue is present the next day is not directly addressing the issue. The patient’s feelings of being “hungover” are likely due to the effects of the medication, not a lack of sleep.

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The nurse is admitting a client from the postanesthesia unit to the postoperative surgical care unit.Which prescription should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child weighing 55 lb has been prescribed cefotaxime at a dosage of 150 mg/kg/day, to be administered in divided doses every 6 hours. How many mg should the nurse administer each day? (Provide a numerical value only.)

Correct Answer is ["3742"]

Explanation

A patient taking temazepam informs you, the nurse, of plans to quit taking the medication due to feelings of being “hungover” the next day.What action should you implement?

Correct Answer is A

Explanation

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The nurse is admitting a client from the postanesthesia unit to the postoperative surgical care unit.
Which prescription should the nurse implement first?