While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin(antibiotic) as ordered 30 minutes preoperatively. Which statement indicates that teaching has been effective?

"This medication will replace vitamins and minerals that may be lost due to bleeding during surgery."

"This is a palliative medication to help ease the pain from surgery."

"This medication will help the surgeon identify areas of bone destruction due to arthritis."

"This antibiotic is given as a prophylactic to help reduce the risk of infection after surgery."

Answer and Explanation

The Correct Answer is D

A. "This medication will replace vitamins and minerals that may be lost due to bleeding during surgery." Cefazolin is an antibiotic, not a replacement for vitamins and minerals. This statement is incorrect.

B. "This is a palliative medication to help ease the pain from surgery."Cefazolin is not a palliative medication; it is an antibiotic used to prevent infection, not to relieve pain.

C. "This medication will help the surgeon identify areas of bone destruction due to arthritis." Cefazolin does not aid in the identification of bone destruction. It is an antibiotic, not a diagnostic tool.

D. "This antibiotic is given as a prophylactic to help reduce the risk of infection after surgery."
This statement is correct. Cefazolin is given prophylactically to reduce the risk of postoperative infection.

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Correct Answer is D

Explanation

A. Complete blood count (CBC): A CBC is a standard laboratory test to evaluate overall health and detect a wide range of disorders, including infection or anemia. It is not contraindicated and may be necessary for comprehensive patient care.

B. Placement on a cardiac monitor: Cardiac monitoring is appropriate in cases of overdose as many substances can affect the heart. It helps in early detection of any arrhythmias or other cardiac complications.

C. Activated charcoal: Activated charcoal is typically used to bind substances in the gastrointestinal tract to prevent absorption. However, in the case of a caustic substance, it is generally contraindicated because it does not bind well to such substances and may obscure endoscopic evaluation.

D. Inducing vomiting: Inducing vomiting is contraindicated in cases of caustic substance ingestion because it can cause additional damage to the esophagus and mouth. It is important to avoid this action to prevent further injury.

A. Ensure that the skin is clean and dry. B. Don gloves prior to administration. C. Take the patient's vital signs. D. Apply to non irritated areas of the skin.

Correct Answer is A

Explanation

A. Ensure that the skin is clean and dry. Cleaning and drying the skin removes dirt, oils, and moisture that could impede the absorption of the medication. This is the first step to ensure maximum efficacy of the topical ointment.

B. Don gloves prior to administration. While wearing gloves is important for infection control and personal protection, it does not directly facilitate the absorption of the ointment into the patient's skin.

C. Take the patient's vital signs. Checking vital signs is a general nursing practice but is unrelated to the application of topical ointments and does not affect absorption.

D. Apply to non-irritated areas of the skin. Applying to non-irritated skin is important to avoid exacerbating skin issues, but it’s not the first step to facilitate absorption. Ensuring the skin is clean and dry takes precedence.

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While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin(antibiotic) as ordered 30 minutes preoperatively. Which statement indicates that teaching has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is A

Explanation

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