Patient Data

Exhibits

The nurse is linking the client's symptoms to the most likely pharmacologic treatment.

Choose the most likely option for the information missing from the statement by selecting from the list of options provided.

The most appropriate medication class to treat the client's presentation is a
dropdown

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A"}

A. Opioid analgesics: The client reports severe, sharp, stabbing pain with breathing and movement due to multiple rib fractures. Opioids are effective for managing moderate to severe pain, allowing the client to breathe deeply, cough effectively, and reduce the risk of complications such as atelectasis or pneumonia.

B. Antibiotics: There is no evidence of infection in this client’s presentation. Antibiotics are not indicated for pain management related to rib fractures or atelectasis without infection.

C. Antacids: Antacids are used to treat gastrointestinal upset or acid-related conditions. They do not address musculoskeletal pain or improve respiratory function in rib fractures.

D. Bronchodilators: Bronchodilators relieve airway constriction in conditions like asthma or COPD. This client’s shallow breathing is due to pain, not bronchospasm, so bronchodilators are not appropriate.

E. Antihypertensives: While the client has slightly elevated blood pressure, antihypertensives do not relieve pain or improve respiratory effort, making them irrelevant for the acute management of rib fracture–related symptoms.

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Free Nursing Study Resources

Correct Answer is ["B","F","G","H"]

Explanation

A. Notify the social worker the client is awake: The social worker is already attempting to contact family. Awakening does not require immediate notification; the priority is client care and stabilization.

B. Explain all procedures: As the client becomes more alert, clear explanations reduce anxiety, promote cooperation, and support orientation, especially in the ICU environment.

C. Increase the propofol infusion: Increasing sedation without clinical indication may mask neurological changes and hinder assessment. Sedative adjustments should be based on prescribed parameters and provider orders.

D. Consider extubating the client: Extubation is only considered when specific respiratory and hemodynamic criteria are met. Waking up does not automatically mean the client is ready to be extubated.

E. Have the client sign consent forms for procedures already performed: Consent must be obtained prior to procedures. Once completed, retroactive consent is not valid or ethical.

F. Assess the client’s pain: Pain assessment is essential in postoperative and trauma patients, particularly once the client is able to communicate.

G. Determine the client’s decision-making ability: As the client becomes more awake, assessing cognitive status and ability to participate in care decisions is appropriate and supports autonomy.

H. Decrease the noise and light stimuli in the room as much as possible: Minimizing environmental stimuli helps reduce delirium risk, improves comfort, and promotes healing in critically ill patients.

A. Verbal reassurance. B. Simultaneous injections. C. Supine positioning. D. Physical soothing.

Correct Answer is B

Explanation

A. Verbal reassurance: While helpful for reducing anxiety, verbal reassurance alone does not significantly shorten the duration of pain associated with multiple injections.

B. Simultaneous injections: Administering multiple vaccines at the same time in different sites reduces the overall number of needle sticks and the total duration of pain the toddler experiences, making this the most effective strategy.

C. Supine positioning: Proper positioning can improve safety and comfort during injections but does not directly decrease the duration of pain from the procedure.

D. Physical soothing: Holding or comforting the toddler helps reduce distress and anxiety, but it does not shorten the actual time the pain stimulus occurs.

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Naxlex Comprehensive Predictor Exams

Patient Data Exhibits The client has started to wake up more, opening her eyes without stimulation and looking around the room. Which should the nurse do as the client becomes more aware of her surroundings? Select all that apply.

Correct Answer is ["B","F","G","H"]

Explanation

The nurse is administering multiple prescribed vaccines to a toddler. Which strategy should the nurse prioritize to reduce the duration of pain?

Correct Answer is B

Explanation

Which task should the nurse delegate to an unlicensed assistive personnel (UAP)?

Patient Data Exhibits Choose the most likely options for the information missing from the statement below by selecting from the lists of options provided. The nurse recognizes that a diagnosis ofdropdown would be explained by assessment findings of dropdown anddropdown

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Patient Data Exhibits The nurse reviews the prescriptions and plans initial steps for caring for the client. Click to indicate which interventions the nurse should perform to care for this client. Each row must have one response indicated.

The nurse is caring for a client with chronic kidney disease (CKD). Which meal selection should the nurse recommend to the client?

Patient Data Exhibits The nurse is reviewing the client's initial assessment findings. Which assessment findings require follow-up? Select all that apply.