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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: This is because ceftriaxone is an antibiotic that can be administered by gravity drip without an IV pump, as long as the flow rate is monitored and adjusted manually.
Choice B rationale: Heparin in normal saline, especially for deep vein thrombosis, requires precise control of the infusion rate, making an infusion pump necessary.
Choice C rationale: Regular insulin in normal saline for ketoacidosis should be administered via an IV pump due to the need for precise control of the infusion rate.
Choice D rationale: Magnesium in normal saline for hypomagnesemia may also require careful control of the infusion rate, making an infusion pump preferable.
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.
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