Aspirin 81 mg at 0900 daily is prescribed for an adult client. At 0800 the client asks for something for low back pain, but does not have any PRN analgesics prescribed. Which action is best for the nurse to take?

Wait until 0830 and administer the aspirin.

Obtain a prescription for a PRN analgesic.

Assess the client's prothrombin time (PT)/international normalized ration (INR).

Administer the prescribed daily aspirin now.

Answer and Explanation

The Correct Answer is B

Choice A rationale: Waiting until 0830 and administering the aspirin would not address the client's immediate need for pain relief.

Choice B rationale: Obtaining a prescription for a PRN analgesic is the most appropriate action to provide the client with effective pain relief.

Choice C rationale: Assessing the client's prothrombin time (PT)/international normalized ratio (INR) is not necessary in this context and does not address the immediate pain concern.

Choice D rationale: Administering the prescribed daily aspirin now would not address the client’s lower back pain at the moment.

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Correct Answer is D

Explanation

Choice A rationale: Reminding the client about new treatments does not address the refusal to write do-not-resuscitate instructions and may not be the most appropriate action.

Choice B rationale: While facilitating a palliative care meeting is important for addressing end-of-life care, it doesn't directly address the provider's refusal to write do not-resuscitate instructions.

Choice C rationale: Providing the healthcare provider with a copy of the client's bill of rights may not be the most effective action in this situation.

Choice D rationale: Initiating a review of the situation by the hospital's ethics committee is appropriate when there is a disagreement between the client's wishes and the healthcare provider's refusal. The ethics committee can help navigate and resolve ethical concerns.

A. Ask the healthcare provider to remain on "hold" until the nurse can confirm the prescription. B. Remain with this client and monitor the vital signs while the nurse takes the call. C. Tell the healthcare provider the nurse will return the phone call as soon as possible. D. Be sure to write down what is prescribed and then repeat it back to the healthcare provider.

Correct Answer is C

Explanation

Choice A rationale: Asking the healthcare provider to remain on "hold" may cause a delay in addressing the prescription and may not be the most efficient way to handle the situation.

Choice B rationale: Remaining with the client and monitoring vital signs is important, but it may not be necessary for the nurse to take the call personally.

Choice C rationale: Informing the healthcare provider that the nurse will return the phone call as soon as possible is a reasonable and appropriate response to address the prescription in a timely manner.

Choice D rationale: Writing down and repeating back the prescription is a good practice, but it may not address the urgency of the situation and the need for prompt communication with the healthcare provider.

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Aspirin 81 mg at 0900 daily is prescribed for an adult client. At 0800 the client asks for something for low back pain, but does not have any PRN analgesics prescribed. Which action is best for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After an interdisciplinary team meeting regarding the client's request to die a natural death, the primary healthcare provider refuses to write the do-not-resuscitate instructions. Which action should the nurse take?

Correct Answer is D

Explanation

Correct Answer is C

Explanation

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