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Practice Question

A nurse is admitting a client from the postanesthesia care unit (PACU) to the postoperative surgical care unit. Which prescription should the nurse implement first?

Answer Choices:

Correct Answer:

Cefazolin 1 gram IV every 6 hours.

Rationale:

🔸 Prophylactic antibiotic administration is time-sensitive, especially postoperatively, to prevent surgical site infections.

🔸 Cefazolin is typically given within a narrow window after surgery to maintain therapeutic blood levels and reduce bacterial colonization.

🔸 Infections can increase morbidity and length of stay, making early antibiotic intervention critical.

🔸 This action takes priority over non-urgent tasks like dietary advancement or labs scheduled for the next day.

🔸 Immediate interventions that prevent complications must be implemented first post-PACU.

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This question is from HESI-RN College Exit~2024 which contains 61 questions.

More Questions from This Exam
A nurse is monitoring a client receiving a blood transfusion. Which of the following actions should the nurse take first?

Answer Choices:

A. Stop the blood transfusion.
B. Administer an antipyretic.
C. Encourage oral fluids.
D. Apply supplemental oxygen.
E. Send blood for type and crossmatch.
After the nurse witnesses a preoperative client signing the surgical consent form, the nurse signs the form as a witness. Which is the legal implication of the nurse's signature on the client's surgical consent form? Select all that apply.

Answer Choices:

A. Verifies that the client understands the procedure that is being performed.
B. The client is competent to sign the consent without impairment of judgment.
C. The client voluntarily grants permission for the procedure to be done.
D. The surgeon has explained to the client why the surgery is necessary.
E. The client understands the risks and benefits associated with the procedure.
The nurse is working on an infectious disease unit. Which client should be assigned to a room with negative airflow, while requiring personnel to use a particulate respirator mask, and requiring staff to observe airborne, as well as standard precautions?

Answer Choices:

A. A client with a positive Mantoux and sputum cultures results positive for acid-fast bacillus (AFB).
B. A female adolescent admitted with multiple genital herpes simplex II lesions.
C. Twin siblings admitted with scarlet fever that is complicated with pneumonia.
D. An older client with scabies who is admitted from an extended care facility.
The healthcare provider prescribes a 5% dextrose injection with 20 units of regular insulin for a client with a serum potassium level of 6.0 mEq/L (6.0 mmol/L) and glucose level of 180 mg/dL (10.0 mmol/L). Which evaluation is most important for the nurse to include in this client's plan of care?

Answer Choices:

A. Assess the serum potassium level every 4 hours.
B. Evaluate glucose levels before and after meals.
C. Monitor and document strict intake and output.
D. Obtain a 12-lead electrocardiogram daily.
From Exam
HESI-RN College Exit~2024

61 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: HESI-Exit Exam(s)
  • Domain: HESI Exit Exam(s)~2024
  • Answer Choices: 4
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