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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Hypertension is not typically an early manifestation of fat embolism syndrome (FES). FES is more commonly associated with hypoxemia, which can lead to hypotension rather than hypertension².
Choice B reason:
While a swollen calf may indicate deep vein thrombosis, it is not an early sign of FES. FES primarily affects the lungs and neurological systems early on, rather than causing localized swelling such as in a calf².
Choice C reason:
Tachypnea, or rapid breathing, is indeed an early sign of FES. This symptom usually develops before others and is due to the fat globules causing respiratory distress by blocking the pulmonary microcirculation²³⁴.
Choice D reason:
Bradycardia, or a slower than normal heart rate, is not an early sign of FES. Instead, patients may experience tachycardia as a response to hypoxemia and respiratory distress².
Correct Answer is ["B","C","D"]
Explanation
Choice A reason:
The statement "The client is Black" does not contribute to the risk of chlamydia based on race alone. Chlamydia infection rates are influenced by a variety of factors, including access to healthcare and socioeconomic status, rather than race itself.
Choice B reason:
Having multiple sexual partners significantly increases the risk of contracting sexually transmitted infections (STIs) like chlamydia because it raises the likelihood of exposure to an infected partner.
Choice C reason:
While being male is not a risk factor in itself, men who have sex with men (MSM) are at a higher risk for STIs like chlamydia due to biological and behavioral factors that facilitate transmission.
Choice D reason:
Engaging in sexual activities with men is a known risk factor for chlamydia among MSM due to the higher prevalence of this STI within this group.
Choice E reason:
The age of 37 does not specifically contribute to the risk of chlamydia. However, chlamydia is more commonly diagnosed in younger individuals, typically those under 25 years old, due to higher rates of new and multiple sexual partnerships.
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