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

Answer and Explanation

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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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.

A. "Use closed-ended questions when obtaining the health history." B. "A client's reproductive health history is not needed for counseling purposes." C. "Refer the client to genetic counseling if they have had an STI." D. "Ask about the client's exposure to any past or present STIs."

Correct Answer is D

Explanation

Choice A reason:
Using closed-ended questions when obtaining a health history can be limiting and may not provide the full context of the patient's sexual health risks. Open-ended questions are generally recommended to encourage a more comprehensive discussion about sexual behaviors and risks.

Choice B reason:
A client's reproductive health history is crucial for counseling purposes. It provides insight into potential risks for STIs and helps tailor the counseling to the client's specific needs and circumstances.

Choice C reason:
Referring a client to genetic counseling for having had an STI is not typically necessary. Genetic counseling is more relevant for hereditary conditions and is not a standard part of STI management.

Choice D reason:
Asking about a client's exposure to past or present STIs is essential in STI counseling. It helps assess the client's risk level and informs the necessary prevention and treatment strategies.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting the medical history from a client who has manifestations of the syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the client if they have a history of which of the following conditions that can cause SIADH?

Correct Answer is D

Explanation

A nurse is teaching a group of newly licensed nurses on effective techniques for counseling clients about sexually transmitted infections (STIs). Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

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