Prior to administering pain medication to an adult postoperative client, what information should the practical nurse (PN) obtain? (Select all that apply.)

Height and weight of client prior to admission

Client's pain rating on a scale of 1 to 10

Time of last administration of pain medication

Eﬀectiveness of last pain medication administered

History of pain medication use during the past year

Answer and Explanation

Correct Answer : B,C,D

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Correct Answer is D

Explanation

Choice A rationale:

Hyperglycemia is not typically associated with tranylcypromine, a monoamine oxidase inhibitor (MAOI) MAOIs can affect blood pressure regulation, but hyperglycemia is not a common adverse effect of this medication.

Choice B rationale:

Hematuria (blood in the urine) is not a known adverse effect of tranylcypromine. This symptom is not directly related to the use of MAOIs.

Choice C rationale:

Tinnitus (ringing in the ears) is not a common adverse effect of tranylcypromine. MAOIs can affect the cardiovascular system, but tinnitus is not a typical manifestation.

Choice D rationale:

Tranylcypromine, an MAOI, can cause hypertension (high blood pressure) as an adverse effect due to its ability to inhibit the breakdown of tyramine in the body. When tyramine-rich foods are ingested, there can be a sudden release of norepinephrine, leading to a hypertensive crisis. Therefore, monitoring for hypertension is essential when a client is taking tranylcypromine and has ingested tyramine-rich foods.

A. Avoid the use of draw sheets for repositioning. B. Limit periods of sitting in a chair to 4 hr. C. Use a no-rinse perineal cleanser after incontinence. D. Keep the head of the client's bed elevated to 45.

Correct Answer is C

Explanation

Choice A rationale:

Avoiding the use of draw sheets for repositioning is not a direct intervention for managing urinary incontinence. Draw sheets are typically used for repositioning and preventing pressure injuries. Managing urinary incontinence involves strategies such as toileting schedules, absorbent products, and perineal care.

Choice B rationale:

Limiting periods of sitting in a chair to 4 hours is a general guideline for preventing pressure ulcers in individuals with limited mobility, but it is not specific to managing urinary incontinence. Clients with urinary incontinence may need to sit in chairs for extended periods, and it is essential to address incontinence management separately.

Choice C rationale:

Using a no-rinse perineal cleanser after incontinence is an appropriate intervention for maintaining skin hygiene and preventing irritation in individuals with urinary incontinence. No-rinse cleansers are designed to clean the perineal area without the need for rinsing, making them convenient for incontinence care. Choice D

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Prior to administering pain medication to an adult postoperative client, what information should the practical nurse (PN) obtain? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is taking tranylcypromine and reports ingestion of tyramine-rich foods.The nurse should monitor the client for which of the following findings as an adverse effect of this medication?

Correct Answer is D

Explanation

A nurse is contributing to the plan of care for a client who has urinary incontinence.Which of the following interventions should the nurse include in the plan?

Correct Answer is C

Explanation

A nurse is documenting client care in the nurses' notes and notices that a space was left blank.Which of the following actions should the nurse take?

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A nurse is caring for a client who follows a kosher diet.Which of the following menu items should the nurse include on the tray?

A nurse is reviewing client confidentiality with other staff members. The nurse should identify that which of the following actions is an example of protecting client confidentiality?

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A nurse is assisting with planning an in-service for staff members about active shooter protocols.Which of the following information should the nurse recommend including?

A nurse is reviewing information about ethical client care with a newly licensed nurse.Which of the following statements by the newly licensed nurse indicates an understanding of fidelity?