QLexNursing
:: ::
Action
::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Open
:: ::
Action

Practice Question

A client who is scheduled for surgery at 1100 has a preoperative IV antibiotic scheduled to be administered at 1000. At 0800, the nurse learns that the surgery time has been changed to 1000. Which action should the nurse take?  

Answer Choices:

Correct Answer:

Start the prescribed antibiotic as close to 1000 as possible.

Rationale:

Preoperative antibiotics are given to prevent surgical site infections by ensuring adequate tissue concentrations of the drug at the time of incision.

⏰The antibiotic should be administered within 30 to 60 minutes before surgery begins to achieve optimal prophylactic effectiveness.

⏰Since the surgery time was moved up to 1000, the nurse must adjust and administer the antibiotic as close as possible to the new start time, ensuring it is completed before anesthesia induction.

⏰Holding the antibiotic or sending it to the OR could delay administration, reducing its protective benefit.

⏰Timely administration is a critical safety measure and part of evidence-based surgical infection prevention protocols.

Want to practice more questions like this?

This question is from Hesi Assessment which contains 29 questions.

More Questions from This Exam
A client sustained a subconjunctival hemorrhage. The presence of which set of symptoms indicate that the client needs to be seen for further evaluation by an ophthalmologist?

Answer Choices:

A. Bilateral itchy, red eyes with watery discharge.
B. Acute pain, change in visual acuity, and foreign body sensation.
C. Frequent burning, irritation and tearing of the eyes.
D. Diminished ability to focus on close work and excessive illumination required.
The nurse is reviewing the signed operative consent with a client who is admitted for the removal of a lipoma on the left leg. The client reports the permit should include another lipoma on the right leg. Which action should the nurse implement?

Answer Choices:

A. Notify the surgical staff of the client's confusion.
B. Add the additional information to the permit.
C. Inform the surgeon about the client's concern.
D. Have the client sign a new surgical permit.
The nurse is assessing an older adult female client with arthritis in the spine. Which statement best describes objective data regarding the client's level of functioning?

Answer Choices:

A. Client's niece reports that her aunt is in pain almost all of the time.
B. Client's medical record includes a treatment plan for spinal arthritis.
C. Client states, "I am able to bathe myself without assistance."
D. Client ambulates slowly with a stooped posture and uses a cane.
When assessing a client's extraocular eye movement, which tool should the nurse use?

Answer Choices:

A. One finger.
B. Snellen chart.
C. Penlight.
D. Ophthalmoscope.
From Exam
Hesi Assessment

29 Questions

View Full Exam Start Practicing
Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: HESI Exam(s)
  • Domain: 🏡HESI-Health Assessment
  • Answer Choices: 4
Q