Try Naxlex NCLEX-RN (Free-Trial)

The nurse is performing an admission assessment on a stable patient admitted after a motor vehicle accident.
The patient reports having bad pain.
What will the nurse do first?

Attempt to determine what type of pain the patient has.

Request an order for intravenous opioid analgesic.

Administer acetaminophen (Tylenol).

Ask the patient to rate the pain on a scale of 1-10.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Determining the type of pain is secondary to assessing pain severity.

Choice B rationale

Intravenous opioids are strong and should be considered only after evaluating pain severity.

Choice C rationale

Administering acetaminophen without assessing pain severity first is not appropriate.

Choice D rationale

Asking the patient to rate their pain helps gauge severity, guiding further pain management steps.

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 D

Explanation

Choice A rationale

Ergotamine does not increase hypoperfusion. It is used to constrict blood vessels to reduce blood flow.

Choice B rationale

Ergotamine does not decrease hypoperfusion. It is used to constrict blood vessels to reduce blood flow.

Choice C rationale

Ergotamine does not increase hyperperfusion. It is used to constrict blood vessels to reduce blood flow.

Choice D rationale

Ergotamine decreases hyperperfusion by constricting blood vessels in the basilar artery vascular bed, reducing the blood flow to relieve migraine headaches. .

A. Myasthenia gravis. B. Cerebral palsy. C. Multiple sclerosis. D. Muscle spasm.

Correct Answer is A

Explanation

Choice A rationale

Myasthenia gravis is an autoimmune neuromuscular disorder characterized by weakness and fatigue of the skeletal muscles. Improvement of ptosis after administration of edrophonium (Tensilon), a short-acting acetylcholinesterase inhibitor, is a diagnostic indicator of myasthenia gravis.

Choice B rationale

Cerebral palsy is a group of permanent movement disorders that appear in early childhood. It is primarily caused by abnormal development or damage to the brain and does not exhibit rapid improvement with edrophonium.

Choice C rationale

Multiple sclerosis is a chronic illness involving the central nervous system, where the immune system attacks the protective sheath (myelin) that covers nerve fibers. It does not respond to edrophonium as myasthenia gravis does.

Choice D rationale

Muscle spasm refers to an involuntary contraction of a muscle that can be sudden and painful. This condition is not typically diagnosed or treated with edrophonium, which is specific for myasthenia gravis. .

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 performing an admission assessment on a stable patient admitted after a motor vehicle accident.The patient reports having bad pain.What will the nurse do first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the action of ergotamine?

Correct Answer is D

Explanation

A patient exhibits ptosis of both eyes and the provider orders edrophonium (Tensilon). The nurse notes immediate improvement of the ptosis.The nurse understands that this patient most likely has which disorder?

Correct Answer is A

Explanation

A student asks the pharmacology instructor to explain the action of anticholinergic agents.What would be the instructor's best response?

A nurse is providing patient teaching to a patient who has been experiencing unstable angina.What will the nurse’s explanation of this condition include?

The nurse evaluates the effects of warfarin by monitoring what lab test?

A patient diagnosed with Heart Failure would like the nurse to explain what the diagnosis means.How will the nurse explain heart failure?

The nurse is preparing to assist with blood collection on a newly admitted patient who has been taking phenytoin for several years.The provider has ordered a complete blood count and liver function tests.Which other blood test will the nurse discuss with the provider?

What is the responsibility of the nurse related to the patient’s drug therapy? Select all that apply.

The provider has ordered intramuscular (IM) injections of morphine, a narcotic, every 4 hours as needed for pain in a motor vehicle accident victim.The nurse is aware this drug has a high abuse potential.Under what category would morphine be classified?

The nurse is teaching a group of parents about the use of syrup of ipecac.Which instruction will the nurse provide?

The nurse is performing an admission assessment on a stable patient admitted after a motor vehicle accident.
The patient reports having bad pain.
What will the nurse do first?