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

Explanation

A. Hepatotoxicity is not a primary sign of salicylate toxicity; salicylate toxicity is more commonly associated with gastrointestinal issues, mental confusion, and tinnitus.

B. GI bleeding is a common sign of salicylate toxicity due to its effect on the gastrointestinal lining.

C. Mental confusion can occur as a result of salicylate toxicity affecting the central nervous system.

D. Tinnitus is a classic symptom of salicylate toxicity.

A. Albuterol B. Hydrocortisone sodium succinate C. Epinephrine D. Diphenhydramine

Correct Answer is C

Explanation

A. Albuterol may be used to treat bronchospasm associated with anaphylaxis, but it is not the first-line treatment.

B. Hydrocortisone sodium succinate is a corticosteroid that can help reduce inflammation, but it is not the first-line treatment in acute anaphylaxis.

C. Epinephrine is the first-line treatment for anaphylactic shock. It acts quickly to constrict blood vessels, increase heart rate, and open airways, counteracting the severe allergic reaction.

D. Diphenhydramine is an antihistamine that can help alleviate allergic symptoms but should be given after epinephrine in anaphylactic emergencies.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Signs of Salicylate toxicity include all of the following except:

Correct Answer is A

Explanation

A nurse is caring for a client who experiences anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?

Correct Answer is C

Explanation

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