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 D
Explanation
A reason:
Restricting the client's ability to eat, speak, or drink is incorrect. A nasal cannula is designed to allow clients to eat, speak, and drink comfortably while receiving oxygen therapy.
B reason:
Delivering a constant rate of a specific concentration of oxygen is somewhat accurate but incomplete. The concentration can vary based on the flow rate set by the healthcare provider.
C reason:
Delivering a high concentration of oxygen is incorrect. Nasal cannulas typically provide low to moderate concentrations of oxygen, depending on the flow rate (usually 1-6 liters per minute).
D reason:
Delivering a low concentration of oxygen is correct. Nasal cannulas are used to provide supplemental oxygen at low flow rates, suitable for clients who require minimal assistance with their oxygen levels.
Correct Answer is C
Explanation
A reason:
Dextrose 5% in 0.9% sodium chloride is a hypertonic solution that could exacerbate hypernatremia by adding more sodium to the client's system.
B reason:
Lactated Ringer's contains electrolytes, including sodium, which may not be appropriate for a client with hypernatremia who needs to avoid additional sodium.
C reason:
0.45% sodium chloride (half-normal saline) is correct. It is a hypotonic solution that helps to lower sodium levels by diluting the blood and promoting cellular hydration.
D reason:
Dextrose 10% in water is a hypertonic solution and would not be appropriate for treating hypernatremia. It does not address the need to reduce sodium levels and could cause fluid shifts that are not beneficial in this context.
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