The client experienced abdominal surgery the previous day and has just received an opioid medication for report of pain. The client is sitting in a chair next to the bed. An additional activity that the nurse uses to relieve pain is:

Have the client deep breathe and hold

Assist the client to ambulate on the nursing unit

Encourage the client to watch television

Apply ice to the incision site for 30 minutes

Answer and Explanation

The Correct Answer is A

A. Deep breathing and holding can help relax the patient, reduce pain perception, and enhance the effects of opioid medications.
B. Ambulating may be appropriate but should be done carefully, as it could exacerbate pain or cause dizziness after opioid administration.
C. While distraction like watching TV can help manage pain, it is not as effective as active pain-relieving interventions like deep breathing.
D. Applying ice to the incision site can be helpful for pain management, but deep breathing is more directly beneficial for managing postoperative pain.

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Correct Answer is ["C","E"]

Explanation

A. Elevating the site is incorrect because in crush injuries, elevation can worsen ischemia by reducing arterial perfusion.
B. Performing a fasciotomy is incorrect because this is a surgical procedure that must be performed by a physician when compartment syndrome is diagnosed.
C. Applying a clean dressing to protect the wound is correct as it prevents contamination and infection.
D. Inserting an indwelling catheter is incorrect unless there is concern for shock or fluid balance issues, which are not immediately indicated in the question.
E. Splinting the wound in a position of rest to prevent motion is correct as immobilization reduces pain and prevents further injury.

A. Elevated ST segment B. Wide QRS C. Inverted P wave D. Abnormally prominent U wave

Correct Answer is D

Explanation

A. Elevated ST segment is typically seen with conditions like pericarditis or acute myocardial injury, not hypokalemia.
B. Wide QRS could be related to various conditions, including bundle branch block or electrolyte disturbances, but it is not specifically indicative of hypokalemia.
C. Inverted P wave could be due to atrial arrhythmias but is not a hallmark of hypokalemia.
D. Abnormally prominent U wave is a classic sign of hypokalemia and is often seen following the T wave on an EKG.

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The client experienced abdominal surgery the previous day and has just received an opioid medication for report of pain. The client is sitting in a chair next to the bed. An additional activity that the nurse uses to relieve pain is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is brought to the ED by a friend who states that a tree fell on the patient’s leg and crushed it while they were cutting firewood. What priority actions should the nurse perform? (Select all that apply.)

Correct Answer is ["C","E"]

Explanation

The nurse in the ED is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?

Correct Answer is D

Explanation

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