The nurse is assisting in the surgical holding area. When should the nurse administer a prophylactic antibiotic to a patient?
a. During surgery
b. 1 hour prior to surgery
c. 4 hours prior to surgery
d. Within the first 2 hours postoperatively
ANS: B
Studies have shown that preventing surgical site infections include giving prophylactic antibiotics within 1 hour prior to surgery (which means the actual incision time). A. The antibiotic is to be given before the surgery begins. C. This period of time is too long before the surgery begins. D. An antibiotic given after the surgery would not be a prophylactic dose.
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The nurse is caring for a client being treated for pancreatitis. Which laboratory study best indicates the treatment is being effective?
1. Decreased bilirubin level 2. Normal lipase level 3. Normal liver function tests 4. Elevated amylase level
Which findings would indicate possible compromise of ulnar nerve integrity following surgical repair of a patient's elbow?
1. Edema in the forearm that is rated 3+ 2. Pain radiating from the wrist to the middle finger 3. Inability to make the "OK" sign by bringing the thumb to the fourth or fifth finger 4. Slight flexion limitation (less than 15 degrees) during passive ROM
After major surgery, a client's hemoglobin is 9.6 gm/dL. The nurse expects that the client's erythropoietin output would go up, but recognizes that increased production is largely dependent on which factor?
1. Resumption of regular and balanced dietary intake 2. Normal kidney function 3. Normal bone marrow function 4. Normal serum ferritin levels
A patient reports nearly having a motor vehicle crash and states that his heart was pounding and he was breathing heavy and fast. Currently the patient's heart rate and breathing are within normal limits
Which neurotransmitter has resumed control after the patient's incident? a. Serotonin b. Prostaglandin c. Acetylcholine d. Norepinephrine