A nurse is caring for a client who is postpartum following a vaginal birth.

Which analgesic medication should the nurse plan to administer and document in the client’s medical record?

Aspirin

Meperidine

Fentanyl citrate

Ibuprofen

Answer and Explanation

The Correct Answer is D

Choice A rationale
Aspirin is generally not recommended for postpartum pain management due to its anticoagulant properties, which can increase the risk of bleeding. Furthermore, if the mother is breastfeeding, aspirin can pass into breast milk and potentially harm the baby.
Choice B rationale
Meperidine is a strong opioid medication that is typically reserved for severe pain. It is not usually the first choice for postpartum pain management due to its potential side effects and the risk of dependency.
Choice C rationale
Fentanyl citrate is a potent opioid that is typically used for severe pain and is often used in anesthesia. It is not usually used for routine postpartum pain management due to its potency and the risk of side effects and dependency.
Choice D rationale
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is commonly used for postpartum pain management. It is effective for relieving perineal pain and uterine cramping, and it is safe for use in breastfeeding mothers.

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Correct Answer is A

Explanation

Choice A rationale
Washing a baby’s face with plain water is a safe and effective way to keep it clean without causing irritation or dryness. This is especially important for newborns, whose skin is more sensitive than that of older children and adults.
Choice B rationale
Bumper pads are not recommended for use in a baby’s crib. They pose a risk of suffocation, strangulation, and entrapment. Instead, the crib should be kept bare, with only a firm mattress and a fitted sheet.
Choice C rationale
A soft mattress is not safe for a baby’s crib. It increases the risk of sudden infant death syndrome (SIDS) because it can conform to the shape of the baby’s head or face, leading to suffocation. A firm mattress is recommended.
Choice D rationale
Bathing a baby immediately after feeding is not recommended. It can cause discomfort and may lead to vomiting. It’s better to wait at least a little while after a feeding before bathing the baby.

A. When was the last time you ate meat? B. Are you taking a Vitamin C supplement? C. How much protein do you eat in a day? D. Have you considered eating shellfish?

Correct Answer is C

Explanation

Choice A rationale
Asking when the client last ate meat is not relevant for assessing dietary intake in a client who adheres to a vegan diet. Vegans do not consume meat or any other animal products.
Choice B rationale
While vitamin C is an important nutrient, it is not typically a concern for vegans as it is abundant in fruits and vegetables. Therefore, asking about vitamin C supplementation may not provide the most useful information about the client’s dietary intake.
Choice C rationale
Protein intake is a key concern for individuals following a vegan diet, as many sources of protein are animal-based. Vegans can get protein from foods like lentils, chickpeas, beans, tofu, and nuts. Therefore, asking about daily protein intake can provide valuable information about the client’s dietary habits and nutritional status.
Choice D rationale
Shellfish are not part of a vegan diet, so asking if the client has considered eating shellfish would not be relevant or appropriate.

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A nurse is caring for a client who is postpartum following a vaginal birth. Which analgesic medication should the nurse plan to administer and document in the client’s medical record?

Nursing Test Bank

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A nurse is caring for a client who is postpartum following a vaginal birth.

Which analgesic medication should the nurse plan to administer and document in the client’s medical record?