The nurse is administering ibuprofen (Advil) to an older patient. Which assessment data causes the nurse to hold the medication?

Patient reports pain on 4/10 scale in right shoulder

Patient experiences respiratory depression after administration of an opioid medication.

Patient reports last bowel movement was 2 days ago.

Patient reports past medical history of gastric ulcer.

Answer and Explanation

The Correct Answer is D

Choice A reason: Pain of 4/10 indicates a need for analgesia, and ibuprofen is appropriate for mild to moderate pain. This does not warrant holding the medication, as it aligns with the drug’s therapeutic purpose.

Choice B reason: Respiratory depression from opioids is unrelated to ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID). While concerning, it does not contraindicate ibuprofen administration, though it requires separate intervention for opioid toxicity.

Choice C reason: A bowel movement 2 days ago suggests mild constipation, not a contraindication for ibuprofen. While NSAIDs can cause gastrointestinal irritation, this finding alone does not justify holding the medication without further symptoms.

Choice D reason: A history of gastric ulcer is a contraindication for ibuprofen, an NSAID that inhibits prostaglandins, reducing gastric mucosal protection. This increases the risk of ulcer reactivation or bleeding, necessitating withholding the medication.

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 C

Explanation

Choice A reason: Preventing bathroom interruptions is not the primary rationale. While convenient, indwelling catheters are used for clinical reasons like monitoring or preventing complications. This rationale overlooks the physiological effects of surgery and anesthesia, which are more critical for catheter use in abdominal procedures.

Choice B reason: Checking patency post-surgery is not the primary reason for intraoperative catheter placement. While catheters monitor urine output, the main goal is to manage bladder function during and immediately after surgery, when anesthesia and surgical manipulation increase retention risks, not just patency.

Choice C reason: Anesthetics, especially general or spinal, reduce detrusor muscle contractility, impairing bladder emptying. This increases urinary retention risk during and post-surgery. An indwelling catheter ensures continuous drainage, preventing bladder overdistention, discomfort, or complications like urinary tract infections or bladder injury.

Choice D reason: Uncontrolled voiding during surgery is unlikely under anesthesia, which suppresses bladder reflexes. While catheters prevent intraoperative bladder filling, the primary concern is retention from anesthetic effects, not involuntary voiding, making this rationale less accurate for catheter use.

A. Irrigate the NG tube with water that is connected to suction for a post-operative client B. Assist a client to the bathroom following administration of a soapsuds enema C. Perform digital removal of stool on a client who is constipated D. Check the tube feeding aspirate for pH and auscultate for bowel sounds

Correct Answer is B

Explanation

Choice A reason: Irrigating an NG tube requires sterile technique and assessment of patency, which are beyond the UAP’s scope. This task involves clinical judgment to avoid complications like aspiration, making it inappropriate for delegation.

Choice B reason: Assisting a client to the bathroom post-enema is within the UAP’s scope, involving mobility support and safety. This task does not require clinical judgment beyond ensuring the client’s stability, making it appropriate for delegation.

Choice C reason: Digital removal of stool is an invasive procedure requiring assessment for complications like vagal stimulation or rectal trauma. It is outside the UAP’s scope, as it demands nursing judgment and skill.

Choice D reason: Checking tube feeding aspirate pH and auscultating bowel sounds involve clinical assessment to confirm tube placement and gastrointestinal function. These tasks require nursing expertise and cannot be delegated to a UAP.

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

The nurse is administering ibuprofen (Advil) to an older patient. Which assessment data causes the nurse to hold the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient is having lower abdominal surgery and the nurse inserts an indwelling catheter. What is the rationale for the nurse’s action?

Correct Answer is C

Explanation

Which task could the RN delegate to the unlicensed assistive personnel (UAP)?

Correct Answer is B

Explanation

A nurse working in a hospital included abdominal assessment as part of patient assessment. In which patient would a nurse expect to find decreased or absent bowel sounds after listening for 5 minutes?

Which clinical manifestation will the nurse expect to observe in a patient with excessive white blood cells present in the urine?

The nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel?

A nurse is teaching a patient about patient-controlled analgesia (PCA). Which statement made by the patient indicates to the nurse that teaching is effective?

A nurse is planning care for a client admitted with diarrhea. Which of the following interventions would be a priority for this client?

When caring for clients in pain, the nurse needs to understand that clients:

A nurse is reviewing urinary laboratory results. Which finding will cause the nurse to follow up?