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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.

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Correct Answer is B

Explanation

Choice A rationale

While "Drug Facts and Comparisons" is a comprehensive source, it is primarily used by pharmacists rather than nurses. Nurses might find it less practical for their day-to-day needs as it is detailed and more suited to in-depth drug comparisons.

Choice B rationale

A nurse drug guide is designed specifically for nurses and includes practical information for administering medications, understanding side effects, and nursing considerations. It’s tailored to the needs of nursing practice.

Choice C rationale

A drug package insert provides detailed information about a specific drug, including indications, dosage, and side effects. However, it lacks the breadth of information about multiple drugs and nursing considerations compared to a nurse drug guide.

Choice D rationale

The Physician’s Drug Reference (PDR) is an excellent resource but is more suited for physicians. It provides detailed drug information but may not focus on nursing-specific considerations and practical administration advice.

A. As needed at the first sign of nausea. B. When seated just prior to takeoff. C. At 0830 just prior to boarding the flight. D. At 0700 before leaving for the airport.

Correct Answer is D

Explanation

Choice A rationale

Taking medication at the first sign of nausea may be too late to prevent motion sickness as it takes time for the medication to be absorbed and take effect.

Choice B rationale

Taking medication just prior to takeoff might not give the drug enough time to be absorbed and start working effectively.

Choice C rationale

Taking medication just prior to boarding the flight may not provide sufficient time for the drug to reach its peak effectiveness.

Choice D rationale

Taking the medication at 0700 before leaving for the airport allows enough time for the drug to be absorbed and reach its peak effect, which is essential for preventing motion sickness during the flight.

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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?

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Naxlex Comprehensive Predictor Exams

What would be the best source of drug information for a nurse?

Correct Answer is B

Explanation

A patient who experiences motion sickness when flying asks the nurse the best time to take the medication prescribed to prevent motion sickness for a flight.The nurse will instruct the patient to take the medication at what time?

Correct Answer is D

Explanation

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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?