A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the postanesthesia unit. Before selecting which medication to administer, which action should the nurse implement?
Ask the client to choose which medication is needed for the pain.
Document the client's report of pain in the electronic medical record.
Compare the client's pain scale rating with the prescribed dosing.
Determine which prescription will have the quickest onset of action.
The Correct Answer is D
Choice A reason: Asking the client to choose the medication is not appropriate as the nurse should use clinical judgment to select the medication based on effectiveness and onset of action.
Choice B reason: Documentation is important but should not precede the administration of pain relief.
Choice C reason: Comparing the pain scale rating with prescribed dosing is part of pain management, but the immediate concern is to relieve the pain as quickly as possible.
Choice D reason: This is the correct choice. The nurse should determine which medication will provide the quickest relief from pain, which is the client's immediate need.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. Hard candy can help relieve the sensation of thirst without causing fluid overload.
Choice B reason: Measuring capillary glucose is not directly related to managing thirst in SIADH.
Choice C reason: Withholding diuretics without medical advice could be harmful and is not related to managing thirst.
Choice D reason: Providing additional oral fluids may exacerbate fluid retention in SIADH and is not recommended.
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. A urinary tract infection is a common cause of urinary incontinence in children and should be evaluated first.
Choice B reason: While emotional trauma can cause changes in behavior, including incontinence, it is not the first complication to be evaluated in this scenario.
Choice C reason: Sexual abuse can result in behavioral changes, but there is no immediate indication of this being the cause without further assessment.
Choice D reason: A structural defect of the urinary tract could cause incontinence, but it is less likely to be the cause of a sudden onset of symptoms compared to a urinary tract infection.
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