A client receives an oral pain medication. In 1 hour the nurse should:

Complete a report

Call the client's provider

Reassess the client

Notify the nurse manager

Answer and Explanation

The Correct Answer is C

A reason:

Completing a report is not the priority action after administering pain medication. Reassessing the client's pain level and effectiveness of the medication is more crucial at this point.

B reason:

Calling the client's provider may be necessary if there are issues or if the pain is not managed, but the first step should be reassessing the client to determine the need for further action.

C reason:

Reassessing the client is correct. This helps determine the effectiveness of the pain medication and the need for additional interventions. It is important to monitor and document the client's response to the medication.

D reason:

Notifying the nurse manager is not the first action needed. The nurse manager can be informed if there are significant issues, but reassessing the client comes first to understand the medication's impact.

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Correct Answer is C

Explanation

A reason:

Asking a family member to verify the client's identity is not reliable and does not follow proper protocol.

B reason:

Checking the client's name on the MAR alone is not sufficient. The nurse must use two identifiers.

C reason:

Asking the client's full name and date of birth is correct. This method uses two identifiers to ensure accurate identification.

D reason:

Verifying the client's room number is incorrect. Room numbers can change and are not reliable identifiers.

A. Shoe covers B. Gown C. N95 respirator D. Surgical mask E. Gloves

Correct Answer is ["B","D","E"]

Explanation

A reason:

Shoe covers are not typically required for standard precautions when dealing with MRSA-infected wounds. They are used in specific scenarios to prevent environmental contamination.

B reason:

Wearing a gown is essential to protect the nurse's clothing and skin from potential contamination with MRSA.

C reason:

An N95 respirator is not necessary unless there is a concern about airborne transmission, which is not the case with MRSA in a draining wound.

D reason:

A surgical mask may be used to protect the nurse from any potential splashes or to prevent respiratory droplets from contaminating the wound area.

E reason:

Gloves are essential to protect the nurse's hands from contamination and prevent the spread of MRSA. They should be worn during any contact with the wound or contaminated linens.

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A client receives an oral pain medication. In 1 hour the nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Before administering a medication to a client, the nurse must identify the client. Which of the following methods of identification should the nurse use?

Correct Answer is C

Explanation

The nurse is preparing to change the linens on the bed of a client who has a draining sacral wound infected by MRSA. Which PPE items should the nurse plan to use? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

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