A nurse is assessing a client for acute postoperative pain. Which of the following actions should the nurse take first?

Provide an analgesic for pain.

Obtain a self-report from the client.

Observe the client's behaviors.

Develop a behavioral pain score.

Answer and Explanation

The Correct Answer is B

A. Provide an analgesic for pain. Administering medication is important but should be done after assessing the pain.
B. Obtain a self-report from the client. The client's self-report is the most reliable indicator of pain and should be obtained first.
C. Observe the client's behaviors. Observing behaviors is helpful but should follow the self-report to validate the client's experience.
D. Develop a behavioral pain score. This can be useful for non-verbal clients, but the self-report is the primary method of assessment for verbal clients.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Provide the client with a snack between lunch and dinner. Many Seventh-day Adventists follow a diet that emphasizes healthy eating and may include snacks between meals. It's important to accommodate their dietary habits, which often include vegetarianism and abstaining from caffeine.
B. Offer the client hot tea at bedtime. Many Seventh-day Adventists avoid caffeine, which includes most teas.
C. Ensure the client has a cup of coffee with every meal. Coffee contains caffeine, which is often avoided by Seventh-day Adventists.
D. Offer the client water before and after meals. While offering water is generally good practice, this option does not specifically address the dietary practices of Seventh-day Adventists.

A. Ask the client's son to explain the preoperative interventions. B. Inform the provider about the situation with the client. C. Reinforce the benefits of the surgery to the client. D. Request another client who speaks the same language to act as an interpreter.

Correct Answer is B

Explanation

A. Ask the client's son to explain the preoperative interventions. This is not appropriate as it may lead to miscommunication and is not in line with professional standards for interpretation.
B. Inform the provider about the situation with the client. This is correct. The provider should be informed to address the client's refusal of preoperative care appropriately.
C. Reinforce the benefits of the surgery to the client. Reinforcing the benefits does not address the communication barrier and the client's immediate refusal.
D. Request another client who speaks the same language to act as an interpreter. This is inappropriate and breaches confidentiality. Professional interpreters should be used.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a client for acute postoperative pain. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who practices Seventh-day Adventism. Which of the following dietary provisions should the nurse include in the plan of care?

Correct Answer is A

Explanation

A nurse is preparing to perform preoperative care for a client who does not speak the same language as the nurse. The client has signed the informed consent form, but is refusing preoperative care. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse on an acute care unit receives a request from a client's provider to fax a laboratory report to his office. Which of the following actions should the nurse take?

A nurse is teaching a group of clients in a community center about carbon monoxide poisoning at home. Which of the following statements by a client indicates an understanding of the teaching?

A nurse is caring for a newly admitted client on a medical-surgical unit. The nurse is acting in the role of client advocate when taking which of the following actions?

A nurse is teaching the parents of a preschooler who is experiencing urinary incontinence at night. The nurse should instruct the parents that which of the following interventions is most effective in treating enuresis?

A nurse is teaching a client who reports constipation. Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a client who reports feeling spiritual distress because his prescribed treatment plan conflicts with his religion. Which of the following actions should the nurse take first?

A nurse is reviewing a newly admitted client's medical record to determine the need to implement fall prevention interventions. The nurse should identify that which of the following findings places the client at risk for a fall?