For a client who is crying and seems agitated after major abdominal surgery, which action should a nurse take to establish a nursing diagnosis of pain related to an abdominal incision?

Continue to observe the client.

Ask the client to describe the discomfort.

Encourage the client to progressively relax all muscle groups.

Administer the prescribed analgesic and document the client’s response.

Answer and Explanation

The Correct Answer is B

Ask the client to describe the discomfort. This is the best action to establish a nursing diagnosis of pain related to an abdominal incision because it allows the nurse to assess the location, intensity, quality, and duration of the pain, as well as any factors that aggravate or relieve it.

This information can help the nurse to plan appropriate interventions and evaluate their effectiveness.

Choice A. Continue to observe the client is wrong because it does not address the client’s pain or communicate empathy. The nurse should not ignore or minimize the client’s pain, but rather acknowledge it and offer assistance.

Choice C. Encourage the client to progressively relax all muscle groups is wrong because it is a nonpharmacological intervention that may help to reduce pain, but it does not establish a nursing diagnosis of pain. The nurse should first assess the client’s pain before implementing any interventions.

Choice D. Administer the prescribed analgesic and document the client’s response is wrong because it is a pharmacological intervention that may help to relieve pain, but it does not establish a nursing diagnosis of pain. The nurse should first assess the client’s pain before administering any medications.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

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

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

pc stands for post cibum, which means after meals in Latin. This abbreviation indicates that a medication is to be administered after the patient has eaten.

Choice A is wrong because hs stands for hora somni, which means at bedtime in Latin. This abbreviation indicates that a medication is to be administered before the patient goes to sleep.

Choice B is wrong because prn stands for pro re nata, which means as needed in Latin. This abbreviation indicates that a medication is to be administered only when the patient requires it.

Choice C is wrong because ac stands for ante cibum, which means before meals in Latin. This abbreviation indicates that a medication is to be administered before the patient eats.

A. “The risk of getting schizophrenia is low, and most people with a close relative with the condition will not develop it themselves.”. B. “Schizophrenia is caused by genetic factors and your children will develop the disease ten times more often than the general public.”. C. “There is a 50% chance that your child will be born with schizophrenia, so keep them out of crowded places and high anxiety situations.”. D. “Females with schizophrenia are infertile and unable to carry a full-term pregnancy, but most of the people who are affected are male.”.

Correct Answer is A

Explanation

Schizophrenia is a disorder that has genetic risk factors, but is not caused by a single gene. The risk of developing schizophrenia is higher if you have a close relative with the disorder, but it is not certain. The risk varies depending on the degree of relatedness and the number of genes involved. The heritability of schizophrenia, which measures how much of the risk is due to genetic factors, is estimated to be between 60% to 80%.

Choice B is wrong because it exaggerates the risk of schizophrenia for children of affected parents. The risk is about 10%, not 10 times more than the general public.

Choice C is wrong because it gives a false and misleading statistic.

There is no 50% chance that a child will be born with schizophrenia, and there is no evidence that crowded places and high anxiety situations can cause the disorder.

Choice D is wrong because it is based on false and outdated stereotypes. Females with schizophrenia are not infertile and can carry a full-term pregnancy, but most of the people who are affected are male.

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

For a client who is crying and seems agitated after major abdominal surgery, which action should a nurse take to establish a nursing diagnosis of pain related to an abdominal incision?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which abbreviation indicates a medication is to be administered after meals?

Correct Answer is D

Explanation

A client newly diagnosed with schizophrenia asks the nurse “Will I pass this disease on to my children?” What is the best response?

Correct Answer is A

Explanation

Which electrolyte imbalance should a nurse expect to assess in a client who reports diarrhea for the past three days?

What does the nurse know to be the goals of client teaching? (Select all that apply).

The client has diabetes Type I, a body mass index (BMI) of 17 and poor skin turgor. How should the nurse plan to administer the prescribed. Humulin R 7 units subcutaneously?

A 68-year-old client diagnosed with cataracts should be assessed for which finding?

Which assessment finding should a nurse record as a symptom of pain? A client who:.

A television reporter calls the nursing unit requesting an update on the status of an elected official from the community who was admitted to the unit. Which statement is the most appropriate response by the nurse when the reporter requests the official diagnosis?

Which action should the nurse take after assessing a 2-day-old wound that has a crust along the edges, is red and appears slightly swollen?

Which instruction should a nurse give to a client taking alendronate (Fosamax) for osteoporosis?