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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%.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["2"]

Explanation

Calculation steps:

Step 1: Identify the dosage required. 20 mg

Step 2: Identify the concentration available. 10 mg/mL

Step 3: Calculate the volume to be administered. 20 mg ÷ 10 mg/mL

Result: 2 mL

A. The nurse will demonstrate the procedure for accurate eye care. B. The client's blood pressure readings will be less than 160/90 mm Hg. C. The client's hemoglobin A1C will be less than 7% in 3 months. D. The nurse will encourage the client to walk thirty minutes every day.

Correct Answer is C

Explanation

Choice A reason: Demonstrating accurate eye care is important but is not a measurable outcome for managing diabetes.

Choice B reason: Managing blood pressure is important but not the primary goal in the context of newly diagnosed diabetes.

Choice C reason:

The correct answer is c) because achieving a hemoglobin A1C of less than 7% in 3 months is a measurable and relevant outcome for managing type 2 diabetes. It indicates good glycemic control and helps prevent complications.

Choice D reason: Encouraging physical activity is beneficial but is not a specific measurable outcome for diabetes management.

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Two hours before a client's scheduled surgery, the nurse is completing the preoperative checklist. Which information requires immediate action by the nurse?

Nursing Test Bank

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