A nurse is caring for a client who has a fractured leg and rates their pain as 7 on a scale of 0 to 10. Which of the following medications should the nurse expect to administer?
Fentanyl
Aspirin
Hydrocodone
Acetaminophen
The Correct Answer is C
Rationale:
A. Fentanyl: Fentanyl is a potent opioid typically reserved for severe, acute, or chronic pain such as in surgical or cancer-related conditions. It is not commonly used for moderate pain in stable orthopedic cases like a simple fracture.
B. Aspirin: Aspirin is a mild analgesic and anti-inflammatory. It may help with mild pain but is inadequate for moderate pain rated 7/10. Additionally, its antiplatelet effects can increase bleeding risk, especially post-trauma.
C. Hydrocodone: Hydrocodone is an opioid analgesic appropriate for managing moderate to severe pain, such as that caused by a fracture. It is commonly used in combination with acetaminophen and is suitable for a pain rating of 7/10.
D. Acetaminophen: Acetaminophen is effective for mild to moderate pain but may not provide sufficient relief for pain rated at 7/10. It is often used adjunctively but would not be the primary choice in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Gather supplies for a client's dressing change after removing the old dressing: This approach is inefficient and can lead to delays in care. Effective time management involves preparing all necessary supplies beforehand to minimize interruptions and ensure a smooth workflow.
B. Complete activities for one client before moving to the next client: Organizing care around each client and completing all required interventions in one visit promotes efficiency, reduces the risk of missed tasks, and allows better prioritization of nursing responsibilities.
C. Document assessment findings and interventions after providing care for a group of clients: Delaying documentation increases the risk of forgetting important details and can compromise patient safety. Timely documentation is essential for accurate communication and continuity of care.
D. Delay cleaning personal work area until the end of the shift: Maintaining an organized and clean work environment throughout the shift prevents clutter, reduces errors, and supports efficient care delivery. Postponing cleaning can hinder workflow and time management.
Correct Answer is C
Explanation
A. Atrial fibrillation: Atrial fibrillation is characterized by absent P waves and an irregularly irregular ventricular rhythm. A constant P-R interval is not observed in this dysrhythmia.
B. Complete heart block: Complete heart block (third-degree AV block) shows no relationship between P waves and QRS complexes, with atrial and ventricular rhythms independent of each other. A constant prolonged P-R interval is not present.
C. First-degree atrioventricular block: First-degree AV block is defined by a consistently prolonged P-R interval (>0.20 seconds) with all atrial impulses conducted to the ventricles. A P-R interval of 0.35 seconds indicates delayed AV conduction consistent with first-degree AV block.
D. Premature atrial complexes: Premature atrial complexes present as early P waves with abnormal morphology, often followed by a normal QRS. The P-R interval may be normal or slightly altered, but a consistently prolonged P-R interval is not characteristic.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
