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A nurse assesses a client after administering the first dose of a nitrate. The client reports a headache. What action would the nurse take?

Instruct the client to drink water.

Hold the next dose.

Initiate oxygen therapy.

Administer PRN acetaminophen.

Answer and Explanation

The Correct Answer is D

A. Drinking water is not likely to alleviate the headache caused by the nitrate.

B. Holding the next dose is not necessary unless the headache becomes severe or is associated with other symptoms.

C. Initiating oxygen therapy is unnecessary for a headache caused by nitrate use.

D. A headache is a common side effect of nitrate administration due to the vasodilation effect. Administering PRN acetaminophen can help relieve the headache.

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Correct Answer is A

Explanation

A. This statement indicates that the client may not fully understand the care required for the drainage tubes. Drainage tubes typically do not "fall out" on their own; they need to be removed by a healthcare provider. The client should be instructed to care for the tubes, monitor drainage, and report any concerns to their healthcare provider.

B. It is appropriate to measure the drainage each day and report it if it exceeds the expected amount. This helps ensure that the surgical site is healing properly.

C. The client should be cautious with the positioning of the drainage tubes to avoid kinking or pulling, which could interfere with drainage and cause complications.

D. A foul odor from the drainage could indicate an infection, so it is appropriate for the client to contact their primary healthcare provider if this occurs.

A. Nuclear medicine scan B. Magnetic resonance imaging (MRI) C. Esophagogastroduodenoscopy (EGD) D. Abdominal arteriogram

Correct Answer is C

Explanation

A. Nuclear medicine scan is less commonly used for diagnosing gastric pain and dyspepsia.

B. Magnetic resonance imaging (MRI) is not the first choice for gastrointestinal issues.

C. Esophagogastroduodenoscopy (EGD) allows direct visualization of the upper GI tract, making it the most accurate diagnostic tool.

D. Abdominal arteriogram is typically used for vascular issues, not for diagnosing dyspepsia or gastric pain.

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A nurse assesses a client after administering the first dose of a nitrate. The client reports a headache. What action would the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is discharged to home after a modified radical mastectomy with two drainage tubes. Which statement by the client would indicate that further teaching is needed?

Correct Answer is A

Explanation

The nurse is caring for a client who has frequent gastric pain and dyspepsia. Which procedure would the nurse expect the health care provider to order to make an accurate diagnosis?

Correct Answer is C

Explanation

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