A patient is being assisted to the bathroom for the first time after Caeserean delivery. A recent experience caused a sudden fall made the client end up at the hospital. The options for the practical nurse (PN) are:
Maximize resting and avoid undue pressure on the cesarean incision.
Return the patient to bed and maintain bed rest until the local flow stabilizes.
Adjust IV fluid flow rate and continue to monitor the local flow amount.
Withhold bladder emptying until the Foley catheter is removed and contract the fundus.
The Correct Answer is B
The patient experienced a sudden guard while being assisted to the bathroom, which led to their hospitalization. The most appropriate action for the practical nurse (PN) in this situation is to prioritize the patient's safety and well-being. Returning the patient to bed and maintaining bed rest allows for stability and minimizes the risk of further complications or injury. By providing a safe and controlled environment, the PN can monitor the patient's condition and collaborate with the healthcare team to determine the appropriate course of action moving forward.
Options a), c), and d) are not relevant or appropriate in this context.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Log-rolling is a technique used to safely turn a client who requires immobilization of the spine or has limited mobility. After log-rolling the client to a lateral position, it is important to maintain proper alignment to prevent injury and promote comfort. Placing pillows strategically can help support and maintain the client's alignment in the lateral position.
The other options mentioned are not the immediate interventions following log-rolling:
B. Raising the head of the bed 30 degrees may be indicated for specific medical conditions or interventions, but it is not the immediate intervention after log-rolling.
C. Flexing the legs and placing a blanket between them is a positioning technique used for preventing skin breakdown and pressure ulcers, but it is not the immediate intervention after log-rolling.
D. Measuring the blood pressure and pulse rate is an important nursing assessment, but it is not the immediate intervention after log-rolling.
Correct Answer is D
Explanation
Hemodialysis is a procedure used to remove waste products and excess fluid from the blood when the kidneys are unable to function properly. One of the waste products that accumulate in the blood during kidney dysfunction is creatinine. Creatinine is a byproduct of muscle metabolism, and its levels in the blood are normally regulated and eliminated by the kidneys. In AKI, the kidneys are not able to effectively filter and eliminate creatinine, leading to elevated levels in the blood. Hemodialysis helps to remove excess creatinine from the blood, resulting in decreased creatinine levels.
A- Elevated potassium levels (hyperkalemia) are common in AKI and can be life-threatening. Hemodialysis helps to remove excess potassium from the blood, restoring normal levels.
However, the best indicator of the effectiveness of hemodialysis in managing hyperkalemia would be monitoring the potassium levels before and after the session rather than considering it as the "best" indicator.
B- Decreased calcium levels can occur in kidney dysfunction due to impaired activation of vitamin D and decreased absorption of calcium from the intestines. While hemodialysis can help restore calcium levels, it may not be the primary laboratory value used to evaluate the effectiveness of each session.
C- Lowered hemoglobin levels can be seen in AKI due to various factors, including decreased production of red blood cells and blood loss. Hemodialysis can help remove waste products and excess fluid, but it may not directly address the underlying causes of lowered hemoglobin levels.
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