The nurse is planning preoperative care for a client who has a fractured wrist. Which of the following should the nurse include in the client's plan of care?
Bathroom privileges after premedication
Drink 8 oz of water
Preoperative diazepam 30 minutes before surgery
Enema administration
The Correct Answer is C
Choice A reason:
Bathroom privileges after premedication are not typically restricted unless the premedication impairs the client's ability to ambulate safely. However, it is important to ensure that the client does not fall or injure themselves due to the effects of the medication.
Choice B reason:
Drinking 8 oz of water is generally not advised immediately before surgery due to the risk of aspiration during anesthesia. Clients are usually instructed to fast, which includes not drinking any liquids, for a certain period before surgery.
Choice C reason:
Preoperative diazepam may be administered 30 minutes before surgery to help reduce anxiety and induce sedation. Diazepam is a benzodiazepine that can calm the client and facilitate a smoother induction of anesthesia.
Choice D reason:
Enema administration is not a standard preoperative procedure for a client undergoing a cholecystectomy unless there is a specific indication. The primary focus is on preventing infection and managing pain.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Dyspepsia, commonly known as indigestion, is not typically associated with SIADH. It is a condition characterized by chronic or recurrent pain in the upper abdomen and is not linked to the overproduction of antidiuretic hormone.
Choice B reason:
Osteoarthritis is a degenerative joint disease and does not cause SIADH. It is characterized by the breakdown of joint cartilage and underlying bone, most commonly from middle age onward, causing pain and stiffness, especially in the hip, knee, and thumb joints.
Choice C reason:
Liver cirrhosis can lead to complications that may contribute to fluid imbalance, but it is not a direct cause of SIADH. SIADH is more commonly associated with conditions that affect the central nervous system or certain types of cancer.
Choice D reason:
Lung cancer, particularly small cell lung cancer, is a well-known cause of SIADH. Tumors in the lungs can produce and release antidiuretic hormone independently, leading to the syndrome of inappropriate antidiuretic hormone secretion.
Correct Answer is C
Explanation
Choice A reason:
Bradycardia, which is a slower than normal heart rate, is not typically associated with diabetes insipidus. Diabetes insipidus primarily affects the kidneys and fluid balance in the body, leading to frequent urination and thirst but not directly affecting heart rate.
Choice B reason:
Moist mucous membranes are not expected in diabetes insipidus. In fact, due to excessive urination, a person with diabetes insipidus is more likely to experience dry mucous membranes from dehydration unless they are adequately hydrating.
Choice C reason:
Urine specific gravity 1.002 is a key finding in diabetes insipidus. This condition is characterized by the excretion of large amounts of dilute urine with low specific gravity. Normal urine specific gravity ranges from 1.005 to 1.030⁴. A value of 1.002 indicates very dilute urine, which is consistent with the inability of the kidneys to concentrate urine in diabetes insipidus.
Choice D reason:
Bounding peripheral pulses are not a finding associated with diabetes insipidus. Bounding pulses may be associated with other conditions such as fever, anemia, or hyperthyroidism but not typically with diabetes insipidus.
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