A nurse is caring for a client who requests pain medication. Which of the following actions should the nurse perform first?

Administer the medication.

Review the effects of the pain medication.

Determine the location of the pain.

Reposition the client.

Answer and Explanation

The Correct Answer is C

A. Administering pain medication should be done after assessing the pain to ensure appropriate treatment.

B. Reviewing the effects of the pain medication is important but should be done after determining the specifics of the pain.

C. The first step in pain management is to assess the pain, including its location, intensity, and characteristics, to ensure that the appropriate treatment is provided.

D. Repositioning the client might help alleviate pain, but it should be considered after assessing the pain.

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Correct Answer is ["A","D","E"]

Explanation

A. This is correct because it is important for clients to manage their pain proactively by using the PCA before the pain becomes intense. This helps maintain a consistent level of comfort and prevents the pain from escalating to a difficult-to-control level.
B. This is incorrect and potentially dangerous. Only the client should press the PCA button, as they are the best judge of their own pain. Allowing someone else to do so can lead to overmedication.
C. This is incorrect because the purpose of the PCA is to give the client control over their pain management. While additional medication may be needed in some cases, the PCA is typically sufficient for managing postoperative pain.
D. This is correct because PCA devices are designed with safety mechanisms that prevent overdose. The pump is programmed to deliver a controlled amount of medication within a specified time frame, ensuring that the client cannot administer too much medication.
E. This is correct because consistent use of the PCA can help maintain steady pain control. The system allows the client to self-administer pain relief as needed, helping to manage pain effectively without large fluctuations.

A. Distended neck veins B. BP 146/94 mm Hg C. Urine specific gravity 1.034 D. Bounding pulse

Correct Answer is C

Explanation

A. Distended neck veins are typically associated with fluid overload, not dehydration.

B. An elevated blood pressure is not a common indicator of dehydration; dehydration often leads to hypotension.

C. An elevated urine specific gravity (greater than 1.030) indicates concentrated urine, which is a sign of dehydration as the body conserves water.

D. A bounding pulse is more indicative of fluid overload rather than dehydration, which often causes a weak, thready pulse.

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A nurse is caring for a client who requests pain medication. Which of the following actions should the nurse perform first?

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Naxlex Comprehensive Predictor Exams

12. A nurse is assisting in the care of a client who is scheduled for surgery. Nurses Notes Exhibits A nurse is reinforcing preoperative teaching about pain management using a patient-controlled analgesia (PCA) system with a client. Which of the following three statements should the nurse include?

Correct Answer is ["A","D","E"]

Explanation

A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?

Correct Answer is C

Explanation

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