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 B

Explanation

A reason:

Applying wrist and leg restraints is an extreme measure and should be used only as a last resort when all other interventions have failed. Restraints can cause physical and psychological harm and should be avoided if possible.

B reason:

Moving the client to a room closer to the nurses' station is the best option. This allows for closer monitoring and quick intervention if the client's condition worsens or if they become a danger to themselves.

C reason:

Administering medication to sedate the client is not the first action to take. Sedation can mask symptoms and lead to further complications. Non-pharmacologic interventions should be considered first.

D reason:

Calling the family and asking them to stay with the client may provide comfort and help reduce confusion, but it is not a substitute for proper medical intervention and monitoring. The priority is to ensure the client is in a safe environment where they can be closely monitored by medical staff.

A. Remove all metal necklaces. B. Take several shallow breaths during the procedure. C. Do not eat or drink anything the morning of the test. D. Expect minor discomfort after the procedure.

Correct Answer is A

Explanation

A reason:

Removing all metal necklaces is correct because metal objects can interfere with the x-ray imaging. Metal can cause artifacts on the x-ray, making it difficult to interpret the results accurately. Therefore, clients are advised to remove any metal jewelry or accessories before the procedure.

B reason:

Taking several shallow breaths during the procedure is not correct. Clients are usually instructed to take a deep breath and hold it for a few seconds while the x-ray is being taken. This helps to get a clear image of the chest.

C reason:

Not eating or drinking anything the morning of the test is not necessary for a chest x-ray. This instruction is more relevant for certain other tests, such as blood tests or imaging studies requiring contrast. For a chest x-ray, there are no such restrictions.

D reason:

Expecting minor discomfort after the procedure is incorrect. A chest x-ray is a non-invasive and painless procedure. Patients typically do not experience any discomfort afterward.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who was alert and oriented at admission, but now seems increasingly restless and intermittently confused. Which of the following actions should the nurse take to address the client's safety needs?

Correct Answer is B

Explanation

As part of an annual physical examination, a nurse is preparing a client to undergo a chest x-ray. Which of the following instructions should the nurse give the client prior to the procedure?

Correct Answer is A

Explanation

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