Which data is cause for immediate intervention for a client after a right shoulder replacement?

Creatinine level is 0.8 mg/dL.

Potassium level is 4.2 mEq/L.

White blood cell count is 9,000 mm³.

Hemoglobin is 7.1 g/dL.

Answer and Explanation

The Correct Answer is D

Choice A Reason
A creatinine level of 0.8 mg/dL falls within the normal range for adults, which is typically 0.6 to 1.2 mg/dL for males and 0.5 to 1.1 mg/dL for females. This indicates normal kidney function and is not a cause for immediate intervention post-operatively.

Choice B Reason
A potassium level of 4.2 mEq/L is within the normal range, which is generally between 3.6 and 5.2 mEq/L. This level indicates a stable electrolyte balance and is not a cause for immediate concern following shoulder replacement surgery.

Choice C Reason
A white blood cell (WBC) count of 9,000 mm³ is within the normal range, which typically spans from 4,500 to 11,000 WBCs per mm³. This suggests there is no active infection or inflammation that requires immediate intervention.

Choice D Reason
A hemoglobin level of 7.1 g/dL is considered low, as the normal range for adult males is generally 13.8 to 17.2 g/dL and for adult females is 12.1 to 15.1 g/dL. Low hemoglobin can indicate anemia, which may be due to blood loss during surgery or other underlying conditions. This requires immediate intervention to address potential oxygenation issues and determine the cause of the anemia.

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Correct Answer is ["A","C","D"]

Explanation

Choice A Reason:

Stopping NSAIDs is crucial for clients with PUD because NSAIDs can cause injury to the lining of the stomach or intestine, making it more vulnerable to damage from stomach acid. This can lead to the development or exacerbation of ulcers.

Choice B Reason:

Continuing aspirin may not be advisable for clients with PUD, as aspirin is an NSAID and can contribute to the development of peptic ulcers by inhibiting prostaglandin synthesis, reducing the protective mucosal layer, and increasing susceptibility to injury.

Choice C Reason:

Limiting caffeine is recommended for clients with PUD. Caffeine stimulates gastric acid secretion, which can exacerbate ulcer symptoms and impede the healing process.

Choice D Reason:

Avoiding alcohol is advised for clients with PUD. While there is mixed evidence on alcohol directly causing stomach ulcers, heavy alcohol consumption is considered a risk factor for developing stomach ulcers and can worsen the symptoms of existing ulcers.

Choice E Reason:

Eating large meals is not recommended for clients with PUD. It is better to eat smaller, more frequent meals to avoid overfilling the stomach and increasing gastric pressure, which can exacerbate symptoms.

A. "You should increase your fiber intake and include more fresh fruits and vegetables in your diet." B. "Avoid foods high in sugar." C. "Decrease your fluid intake during the day." D. "You should avoid small seeds and nuts."

Correct Answer is A

Explanation

Choice a reason:
Increasing fiber intake is crucial for clients with diverticular disease. A high-fiber diet softens the stool and helps it pass more easily, reducing the pressure in the digestive tract. Fresh fruits and vegetables are excellent sources of fiber and other nutrients essential for maintaining a healthy digestive system. The Dietary Guidelines for Americans recommend a dietary fiber intake of 14 grams per 1,000 calories consumed, which equates to 28 grams per day for a 2,000-calorie diet.

Choice b reason:
While avoiding foods high in sugar is generally good advice for overall health, it is not specifically related to the management of diverticular disease. There is no direct link between sugar intake and the symptoms or complications of diverticular disease. However, a diet high in sugar can contribute to obesity, which is a risk factor for the development of diverticulosis.

Choice c reason:
Decreasing fluid intake is not recommended for clients with diverticular disease. In fact, adequate hydration is essential when increasing fiber intake. Fluids help fiber work better by allowing it to absorb water and expand, aiding in easier passage through the intestines.

Choice d reason:
The previous belief that small seeds and nuts should be avoided by individuals with diverticular disease has been debunked. Recent studies have shown that these foods do not increase the risk of complications and are not harmful to individuals with this condition. Therefore, this advice is outdated and no longer considered necessary as part of dietary teaching for diverticular disease.

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Which data is cause for immediate intervention for a client after a right shoulder replacement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge teaching for the client newly diagnosed with Peptic Ulcer Disease (PUD). The teaching should include instructions to: (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

The nurse is caring for a client who has just been diagnosed with diverticular disease. What dietary teaching will the nurse provide?

Correct Answer is A

Explanation

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