A nurse is caring for a patient who recently had abdominal surgery and is experiencing severe pain. The patient’s blood pressure is 110/60 mmHg, and heart rate is 60 beats/min. Additionally, the patient does not appear to be in any distress. Which response by the nurse is most therapeutic?

I will go get you some narcotic pain relievers immediately.

Your vitals do not show that you are having pain; can you describe your pain?

You do not look like you are in pain.

What would you like to try to alleviate your pain?

Answer and Explanation

The Correct Answer is D

Choice A reason: Offering narcotics immediately without assessing pain details or considering nonpharmacological options is not therapeutic. Pain management requires a tailored approach, evaluating pain characteristics and patient preferences, as narcotics carry risks like respiratory depression, especially post-surgery, necessitating cautious use.

Choice B reason: Dismissing pain based on stable vitals is not therapeutic. Pain is subjective, and normal vitals (e.g., 110/60 mmHg, 60 bpm) don’t negate severe pain. This response invalidates the patient’s experience, potentially eroding trust and delaying effective pain management.

Choice C reason: Stating the patient doesn’t look in pain is dismissive and non-therapeutic. Pain is subjective, and external appearance may not reflect internal experience, especially in stoic patients. This response risks undermining patient trust and delaying appropriate pain relief interventions.

Choice D reason: Asking what the patient wants to try is therapeutic, promoting patient-centered care. It validates the patient’s pain, encourages shared decision-making, and considers both pharmacological and nonpharmacological options, optimizing pain relief while respecting patient autonomy and preferences post-surgery.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: Diuretics, particularly thiazides, can reduce urinary calcium excretion, potentially decreasing kidney stone risk. However, some diuretics may increase stone formation indirectly, but they are not a primary risk factor compared to genetic predisposition.

Choice B reason: Family history is a well-established risk factor for urolithiasis, as genetic predispositions influence urinary chemistry (e.g., hypercalciuria, hyperoxaluria). Inherited metabolic traits increase stone formation likelihood, making this a significant risk factor for the condition.

Choice C reason: BMI less than 25 (normal weight) is not a risk factor for urolithiasis. Higher BMI (>30) is associated with increased stone risk due to metabolic changes like insulin resistance, making this choice incorrect.

Choice D reason: Hypocalcemia is not typically linked to urolithiasis. Hypercalcemia or hypercalciuria (often genetic) increases calcium stone formation, but low calcium levels do not contribute significantly to stone risk, making this incorrect.

A. 1.5 tablets B. 2.5 tablets C. 2 tablets D. 1 tablet

Correct Answer is A

Explanation

Choice A reason: Furosemide 60 mg requires 1.5 tablets of 40 mg (60 ÷ 40 = 1.5). Scored tablets allow precise division, ensuring the correct dose. This calculation aligns with safe medication administration principles, delivering the prescribed amount accurately.

Choice B reason: Administering 2.5 tablets (100 mg) exceeds the prescribed 60 mg dose. Overdosing furosemide, a loop diuretic, risks excessive diuresis, leading to dehydration, hypokalemia, or hypotension, making this choice unsafe and incorrect.

Choice C reason: Two tablets (80 mg) also exceed the 60 mg order. This overdose could cause significant fluid and electrolyte imbalances, particularly in vulnerable patients, as furosemide promotes rapid sodium and water excretion, making this choice inappropriate.

Choice D reason: One tablet (40 mg) underdoses the patient, providing only 66.7% of the prescribed 60 mg. Inadequate dosing may fail to achieve therapeutic effects, such as edema reduction or blood pressure control, rendering this choice incorrect.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a patient who recently had abdominal surgery and is experiencing severe pain. The patient’s blood pressure is 110/60 mmHg, and heart rate is 60 beats/min. Additionally, the patient does not appear to be in any distress. Which response by the nurse is most therapeutic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

Correct Answer is B

Explanation

Physician order reads: Furosemide 60 mg po bid. Available: 40 mg scored tablets. What do you administer to the patient?

Correct Answer is A

Explanation

A nurse assessing a client notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. A nurse should associate these findings with which of the following types of urinary incontinence?

When caring for clients in pain, the nurse needs to understand that clients:

The nurse is administering ibuprofen (Advil) to an older patient. Which assessment data causes the nurse to hold the medication?

The nurse is administering pain medication for several patients. Which patient does the nurse administer medication to first?

Which clinical manifestation will the nurse expect to observe in a patient with excessive white blood cells present in the urine?

A patient is being seen for complaints of severe flank pain lasting for 2 days. The emergency department physician suspects that the patient has renal calculi. Which of the following tests would the nurse expect the health care provider to order?

A nurse is caring for a client who is incontinent of bowel and bladder. Which of the following actions should the nurse take?

A nurse is instructing a female client on obtaining a midstream urine specimen. Which of the following statements by the client indicates an understanding of the teaching?