A nurse is assessing a client who recently started taking an antibiotic. The nurse should identify that which of the following findings is an indication of a mild allergic reaction?

Sore throat

Urinary frequency

Tinnitus

Urticaria

Answer and Explanation

The Correct Answer is D

A.   A sore throat is not typically associated with a mild allergic reaction to antibiotics.

B.   Urinary frequency is not typically associated with a mild allergic reaction to antibiotics.
C.   Tinnitus is not typically associated with a mild allergic reaction to antibiotics.

D. Urticaria, or hives, is a common manifestation of a mild allergic reaction to antibiotics.

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Correct Answer is A

Explanation

A. At 6 hours postoperative, difficulty voiding is common due to anesthesia effects and pain. The nurse should begin with noninvasive measures to stimulate urination. Hearing running water can help trigger the micturition reflex and promote voiding safely.

B. Lying supine may make it more difficult for the client to void. Sitting upright or ambulating to the bathroom may be more effective.
C. This is inadequate fluid intake; normal intake is usually 2,000–3,000 mL/day unless restricted.Furthermore,this does not directly address the immediate difficulty voiding.
D. Catheterization should be considered only after other interventions to promote voiding have been attempted and failed, as it carries the risk of infection and discomfort.

A. "Logrolling helps prevent friction when you are repositioned." B. "Logrolling will keep your spine in alignment." C. "You should keep your arms at your sides while logrolling" D. "The head of your bed will be elevated prior to logrolls”

Correct Answer is B

Explanation

A. Logrolling is primarily used to move clients without twisting the spine or causing friction on pressure areas, rather than specifically to prevent friction.
B. Logrolling is a technique used to maintain the alignment of the client's spine while turning them, reducing the risk of injury, particularly to the spinal cord.

C. Clients are typically instructed to cross their arms over their chest during logrolling to help maintain alignment and protect their arms.
D. While raising the head of the bed may be necessary for certain procedures or to assist with positioning, it is not specifically required for logrolling.

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A nurse is assessing a client who recently started taking an antibiotic. The nurse should identify that which of the following findings is an indication of a mild allergic reaction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 6 hr postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is teaching a client about logrolling while in bed. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is administering multiple types of ophthalmic drops to a client. Which of the following actions should the nurse take?

A nurse is teaching a client about stress management techniques. Which of the following client statements indicates an understanding of the teaching?

A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?

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A home health nurse is caring for a group of older adult clients. Which of the following statements by a client is an indication they may be experiencing social isolation?

A nurse is planning to use nonpharmacological pain relief methods for a client who reports continued mild back pain after receiving analgesia 1 hr ago. Which of the following actions should the nurse include in the plan?

A nurse is preparing to administer prescribed medications to a client. According to the rights of medication administration, when should the nurse compare the medication administration record against the medication container? (Select all that apply.)

A nurse is providing discharge teaching to a client who is at risk for falls. Which of the following information should the nurse include in the teaching?