A nurse is caring for a client who is 24 hours postoperative following abdominal surgery. The client received an opioid analgesic 1 hour ago and now reports a pain level of 2 on a scale of 0 to 10. Which of the following actions should the nurse take?
Administer an additional dose of pain medication.
Maintain the client on bed rest.
Apply a warm, moist compress to the incision area.
Reposition the client.
The Correct Answer is D
Choice A reason: An additional dose of pain medication is not necessary as the client reports a low pain level of 2, indicating effective pain control.
Choice B reason: Maintaining the client on bed rest is not required unless specified by the postoperative care plan. It is generally beneficial to mobilize the client as soon as possible to prevent complications.
Choice C reason: A warm, moist compress may be applied to the incision area if there is specific discomfort or as per the care plan, but it is not indicated solely based on the pain level reported.
Choice D reason: Repositioning the client can help alleviate discomfort and prevent pressure ulcers. It is a suitable action given the low pain level reported.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Oxybutynin does not specifically relax the muscles of the colon; its primary action is on the bladder.
Choice B reason: Oxybutynin is an antispasmodic medication used to treat symptoms of an overactive bladder by relaxing the bladder muscles.
Choice C reason: The medication does not increase venous return to the heart.
Choice D reason: Oxybutynin does not increase tissue perfusion in the lungs; its effects are localized to the bladder.
Correct Answer is A
Explanation
Choice A reason: Monitoring potassium levels is important when taking digoxin, as low levels can increase the risk of toxicity.
Choice B reason: Weighing oneself can help monitor for signs of fluid retention, but it is not directly related to digoxin use.
Choice C reason: Taking an antacid with digoxin is not generally recommended as it can interfere with the absorption of the medication.
Choice D reason: While blurred vision can be a side effect of digoxin, it is not expected and should be reported to a healthcare provider as it may indicate toxicity.
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