A nurse is caring for a client who is 1-day postoperative following gynecologic surgery and reports incisional pain. Which of the following actions should the nurse take first?

Ask the client to rate her pain on a scale from 0 to 10.

Reposition the client and offer her a back rub.

Determine the time the client last received pain medication.

Measure the client's vital signs, including temperature.

Answer and Explanation

The Correct Answer is A

A) Ask the client to rate her pain on a scale from 0 to 10:
Assessing the client's pain intensity is the first essential step in managing postoperative pain. Understanding the severity of pain will guide the nurse in determining the appropriate intervention and whether immediate pain relief measures or further assessment are needed.

B) Reposition the client and offer her a back rub:
Repositioning and providing comfort measures like a back rub can help alleviate discomfort, but assessing the pain level first is crucial to prioritize interventions effectively.

C) Determine the time the client last received pain medication:
Knowing the timing of the last pain medication dose is important but assessing current pain intensity takes precedence to determine if the client needs immediate pain relief.

D) Measure the client's vital signs, including temperature:
While vital signs are important for overall assessment, addressing pain management and comfort should be the initial focus after the client reports incisional pain postoperatively.

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 B

Explanation

A) Serum calcium 10.5 mg/dL:
A serum calcium level of 10.5 mg/dL is within the normal range (8.5-10.5 mg/dL). Spironolactone does not typically affect calcium levels significantly.

B) Serum potassium 5.2 mEq/L:
An elevated serum potassium level (hyperkalemia) is a known adverse effect of spironolactone. Spironolactone is a potassium-sparing diuretic that inhibits aldosterone, leading to decreased potassium excretion and potential hyperkalemia, especially in clients with impaired renal function.

C) Serum chloride 99 mEq/L:
A serum chloride level of 99 mEq/L is within the normal range (96-106 mEq/L). Spironolactone does not typically affect chloride levels significantly.

D) Serum sodium 140 mEq/L:
A serum sodium level of 140 mEq/L is within the normal range (135-145 mEq/L). Spironolactone does not typically affect sodium levels significantly.

A. Cimetidine 300 mg PO four times per day B. Furosemide 80 mg PO daily C. Acyclovir 400 mg PO twice daily D. Meloxicam 5 mg PO once daily

Correct Answer is B

Explanation

A) Cimetidine 300 mg PO four times per day:
Cimetidine, a histamine-2 (H2) receptor antagonist used to treat gastric acid-related disorders, does not typically affect potassium levels. Its mechanism of action involves reducing stomach acid production rather than impacting electrolyte balance.

B) Furosemide 80 mg PO daily:
Furosemide is a loop diuretic that inhibits sodium and chloride reabsorption in the loop of Henle, leading to increased urinary excretion of potassium (potassium wasting). This mechanism can result in hypokalemia, especially with higher doses or prolonged use.

C) Acyclovir 400 mg PO twice daily:
Acyclovir is an antiviral medication primarily used for herpes simplex virus infections. It does not have a known association with causing hypokalemia.

D) Meloxicam 5 mg PO once daily:
Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) used for pain relief and inflammation. It does not affect potassium levels and is not associated with causing hypokalemia.

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 caring for a client who is 1-day postoperative following gynecologic surgery and reports incisional pain. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory findings of a client who has liver failure with ascites. The client takes spironolactone. Which of the following findings is an adverse effect of the medication?

Correct Answer is B

Explanation

A nurse is reviewing the medication history of a client. The nurse should identify that which of the following medications places the client at risk for hypokalemia?

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving warfarin therapy to prevent a deep vein thrombosis. Which of the following medications should the nurse have available in the event of an overdose?

A nurse is collecting data from a client who has been taking omeprazole for the past 4 weeks. The nurse determines that the medication is effective when the client reports relief from which of the following symptoms?

A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense a dose of analgesia. Which of the following responses should the take?

A nurse is preparing to administer 0.9% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr.? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is reviewing the chart of a client who is scheduled to have radiological studies of the kidneys performed with the use of IV contrast dye. Which of the following client medications should the nurse withhold prior to the examination?

A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been taking ferrous gluconate for several weeks. Which of the following instructions should the nurse include?

A nurse is talking with a client who is about to start taking nitroglycerin oral, sustained-release capsules. Which of the following instructions should the nurse include?