The most appropriate explanation by the nurse to explain why a client cannot eat before surgery is
a. "Anesthesia works best on an empty stomach."
b. "The stomach should be empty to prevent complications."
c. "There is not enough time before surgery to digest the food."
d. "You will not have to go to the bathroom frequently before surgery."
B
If a client undergoing surgery is to receive a general anesthetic, foods and fluids are restricted for 8 hours before surgery. This restriction significantly reduces the possibility of aspiration of gastric contents, which can cause aspiration pneumonia.
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During an assessment, the nurse becomes concerned that a client is at risk for developing metabolic alkalosis. What did the nurse assess that caused this concern?
A) Daily ingestion of a banana with breakfast B) Daily weight consistent C) Daily use of sodium bicarbonate for gastric upset D) Daily use of prescribed NSAIDs for arthritic pain
The nursing instructor is discussing increased intracranial pressure (ICP) with the senior nursing students. What would the instructor be correct in telling the students is an early clinical manifestation of ICP?
A) Disorientation and restlessness B) Decreased pulse and respirations C) Projectile vomiting D) Loss of corneal reflex
New parents are discovering their baby and all his features the day after the baby is born. They ask the nurse why the baby's head seems lopsided and not round, as they thought it should be. The nurse's best response is:
A) "You're right. We'll make sure your doctor checks this out." B) "I don't think it looks unusual." C) "Babies' heads always look funny. Once his hair grows out, you'll hardly notice it." D) "Your baby's head had to shape itself to the birth canal. It will look round in a few days."
A 34-year old patient with chronic hepatitis C infection has several medications prescribed. Which medication requires further discussion with the health care provider before administration?
a. Ribavirin (Rebetol, Copegus) 600 mg PO bid
b. Pegylated ?-interferon (PEG-Intron, Pegasys) SQ daily
c. Diphenhydramine (Benadryl) 25 mg PO every 4 hours PRN itching
d. Dimenhydrinate (Dramamine) 50 mg PO every 6 hours PRN nausea