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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A reason:
Ignoring the urge to defecate is a common cause of constipation. Suppressing the natural urge can lead to harder stools and decreased bowel movement regularity.
B reason:
Inadequate fluid intake contributes to constipation by leading to harder stools that are more difficult to pass. Sufficient hydration is essential for maintaining regular bowel movements.
C reason:
Decreased fiber in the diet is a significant cause of constipation. Fiber helps to bulk up the stool and promote regular bowel movements. A diet low in fiber can result in harder and less frequent stools.
D reason:
Increased activity typically promotes regular bowel movements and is not a cause of constipation. Physical activity stimulates intestinal motility, helping to prevent constipation.
E reason:
Excessive laxative use can lead to dependence and decreased bowel motility over time, causing constipation. Overuse of laxatives can disrupt the natural bowel rhythm and lead to chronic constipation.
Correct Answer is A
Explanation
A reason:
When walking, moving the left foot forward first is correct. For clients with left-sided weakness, the cane should be used to provide support for the weak side. Moving the left foot first while using the cane helps maintain balance and stability.
B reason:
Keeping the elbow straight when holding the cane is incorrect. The elbow should be slightly bent when holding the cane to allow for better control and shock absorption, reducing strain on the arm.
C reason:
Moving the cane forward 18 inches with each step is incorrect. The cane should be moved a comfortable distance forward, typically about 6 to 12 inches, to maintain stability and support without overreaching.
D reason:
Holding the cane with the left hand is incorrect. For left-sided weakness, the cane should be held in the right hand to provide support and balance on the opposite side of the weakness.
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