The nurse is caring for an immobile client after spinal surgery. Which action is most important for the nurse to take to prevent postoperative complications?

Progress diet slowly from ice chips to clear liquids.

Maintain intervascular infusion rate.

Apply intermittent pneumatic compression devices.

Obtain frequent pain level assessments.

Answer and Explanation

The Correct Answer is C

A.   Progressing the diet is important but does not address immobility-related complications.
B.   Maintaining the IV infusion rate is necessary but not specific to preventing complications from immobility.
C.   Applying intermittent pneumatic compression devices helps prevent deep vein thrombosis (DVT), a significant risk for immobile clients post-surgery. This is a critical preventative measure for immobility-related complications.
D.   Frequent pain assessments are important but do not specifically prevent complications from immobility.

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Correct Answer is D

Explanation

A. While monitoring troponin levels is important for diagnosing myocardial infarction, immediate relief of chest pressure and shortness of breath is a higher priority.
B. Placing an indwelling urinary catheter and measuring intake and output is not the immediate priority for managing acute chest pain and potential myocardial ischemia.
C. Counting premature ventricular contractions is useful but not the most immediate action in managing acute chest pressure and shortness of breath.
D. Recording the pain score and administering sublingual nitroglycerine addresses the acute symptoms of chest pressure and shortness of breath, aiming to relieve myocardial ischemia.

A. Serum electrolytes. B. Platelet count. C. Complete blood count. D. Liver enzymes.

Correct Answer is C

Explanation

A. Serum electrolytes are important to monitor in chronic kidney disease but do not directly relate to the effects of epoetin alfa.

B. Platelet count is not typically affected by epoetin alfa and does not directly address the client’s symptoms of tiredness.
C. Complete blood count (CBC) is crucial to monitor, especially hemoglobin and hematocrit levels, as epoetin alfa is used to treat anemia in chronic kidney disease, which can cause fatigue.
D. Liver enzymes are not directly related to the effects of epoetin alfa and the symptoms described.

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The nurse is caring for an immobile client after spinal surgery. Which action is most important for the nurse to take to prevent postoperative complications?

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Naxlex Comprehensive Predictor Exams

A client who underwent cardiac stent placement four days ago arrives to the emergency department reporting a sudden onset of chest pressure and shortness of breath. Which action should the nurse take next?

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A client with chronic kidney disease reports to the nurse of feeling increasingly tired. The client receives injections for epoetin alfa three times a week. Which laboratory value should the nurse review?

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