The nurse is caring for a client who reports running out of aspirin one week ago and taking ibuprofen as a replacement. Which information should the nurse obtain from the client first?
Reason for taking the aspirin.
Presence of gastric pain.
Amount of pain control.
Dosage of ibuprofen taken.
The Correct Answer is A
Choice A reason: Understanding the reason for taking the aspirin is crucial because aspirin may be prescribed for various reasons, such as pain relief, anti-inflammatory purposes, or cardiovascular protection. Knowing the reason helps the nurse assess if ibuprofen is a suitable substitute or if additional interventions are needed.
Choice B reason: While the presence of gastric pain is important, it is secondary to understanding the underlying reason for aspirin use.
Choice C reason: Assessing the amount of pain control achieved with ibuprofen is important for managing the client's symptoms, but it is not the first priority.
Choice D reason: Knowing the dosage of ibuprofen taken is essential for determining if the client is taking an appropriate amount, but it comes after understanding the initial indication for aspirin use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1000"]
Explanation
Calculation Steps:
Step 1: Determine the total volume to be infused: 500 mL. Result = 500 mL.
Step 2: Convert time from minutes to hours: 30 minutes ÷ 60 minutes/hour = 0.5 hours. Result = 0.5 hours.
Step 3: Calculate the infusion rate: 500 mL ÷ 0.5 hours = 1000 mL/hour.
Result = 1000 mL/hour.
Correct Answer is C
Explanation
Choice A reason: Yellow expectorated sputum is indicative of an infection but does not require immediate intervention.
Choice B reason: An oral temperature of 100.5°F (38.1°C) suggests a mild fever, common with infections and manageable with antipyretics.
Choice C reason: Bilateral diffuse wheezing is a sign of airway obstruction and requires immediate intervention to ensure the client's airway remains open and they are able to breathe effectively.
Choice D reason: Shortness of breath on exertion is expected in clients with COPD and pneumonia but does not require the most immediate intervention compared to wheezing.
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