A nurse is caring for a client who is nauseated and unable to eat after taking an antibiotic. Identify the steps the nurse should take to address the client's nausea.

(Arrange the steps, placing them in the order of performance. Use all the steps.)

Determine the probability of intervention-related complications.

Review the potential benefits and consequences of each intervention.

Select an intervention that provides the greatest benefit and least risk.

Identify possible nursing interventions that address the client's nausea.

Answer and Explanation

The Correct Answer is D, B, A, C

When caring for a client who is nauseated and unable to eat after taking an antibiotic, the nurse should first identify possible nursing interventions that address the client's nausea. The nurse should then review the potential benefits and consequences of each intervention. The nurse should determine the probability of intervention-related complications. Finally, the nurse should select an intervention that provides the greatest benefit and least risk to the client.

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Correct Answer is D

Explanation

The nurse should ask a second nurse to record her signature when wasting any unused portion of the controlled substance. This is a standard procedure for the safe handling and documentation of controlled substances.

a. The nurse should report any discrepancy in the count total of the controlled substance before administration, not after.

b. The wasted portion of the controlled substance should be disposed of according to facility policy, which may not involve placing it in a sharps container.

c. The count total of the controlled substance should be verified before removing the amount needed, not after.

A. Decreased judgment B. Decreased activity C. Increased reﬂexes D. Increased auditory alertness

Correct Answer is A

Explanation

Decreased judgment is a common sign of sleep deprivation. When a person is sleep deprived, their cognitive function can be impaired, leading to difficulty making decisions and exercising good judgment.

Options b, c, and d are not necessarily indicative of sleep deprivation. Decreased activity can be a sign of many diﬀerent conditions, including fatigue or depression. Increased reﬂexes and increased auditory alertness are not commonly associated with sleep deprivation.

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A nurse is caring for a client who is nauseated and unable to eat after taking an antibiotic. Identify the steps the nurse should take to address the client's nausea. (Arrange the steps, placing them in the order of performance. Use all the steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse on a medical-surgical unit is caring for a client who reports difficulty sleeping at night. Which of the following findings should indicate to the nurse that the client has sleep deprivation?

Correct Answer is A

Explanation

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A nurse is caring for a client who is nauseated and unable to eat after taking an antibiotic. Identify the steps the nurse should take to address the client's nausea.

(Arrange the steps, placing them in the order of performance. Use all the steps.)