Two hours before a client's scheduled surgery, the nurse is completing the preoperative checklist. Which information requires immediate action by the nurse?
Preoperative chest x-ray report is not available.
Surgical consent form is not signed.
Preoperative serum potassium level is 2.8 mEq/L (2.8 mmol/L).
Client's pulse oximeter reading is 96%.
The Correct Answer is C
Choice A reason: While the chest x-ray report is important, it is not as immediately critical as a low potassium level.
Choice B reason: The surgical consent form is important but can be addressed quickly before surgery.
Choice C reason:
The correct answer is c) because a preoperative serum potassium level of 2.8 mEq/L is dangerously low and requires immediate correction to avoid cardiac complications during surgery.
Choice D reason: A pulse oximeter reading of 96% is within normal limits and does not require immediate action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
The correct answer is a) because using antibacterial soap can be too harsh and irritating for the skin that is undergoing radiation treatment. Gentle cleansing with mild soap is recommended to avoid skin irritation.
Choice B reason: Drying the area with patting motions is appropriate as it helps prevent further irritation to the sensitive skin.
Choice C reason: Applying prescribed lotions is recommended to keep the skin moisturized and help with any radiation-induced dryness or irritation.
Choice D reason: Wearing clothing to cover the radiation site can protect the area from sun exposure and further irritation, which is appropriate care for the skin.
Correct Answer is A
Explanation
Choice A reason:
The correct answer is a) because medications like colchicine and indomethacin can affect liver function, and periodic liver function studies are necessary to monitor for potential side effects.
Choice B reason: Massaging inflamed joints is not recommended as it can worsen inflammation.
Choice C reason: Substituting fruit juices for carbonated drinks is good dietary advice but not the most critical instruction.
Choice D reason: Limiting the use of mobility equipment is not relevant to managing gout and preventing complications.
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