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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Many complementary or alternative therapies can interact with prescribed medications, potentially causing serious health problems.
Choice B rationale
This is not a valid reason for asking about alternative therapies, as the nurse's role is to ensure safe and effective use of prescribed medications.
Choice C rationale
Non-compliance is not the primary concern when asking about alternative therapies; potential interactions are.
Choice D rationale
The cost of treatments is a consideration, but it is not the primary reason for asking about alternative therapies.
Correct Answer is B
Explanation
Choice A rationale
Knowing everything necessary for safe drug administration would imply complete knowledge and expertise, which is an unrealistic expectation for any nurse after just one course. Safe drug administration requires continuous learning and staying updated with new guidelines, drug interactions, and patient-specific factors.
Choice B rationale
General drug information includes understanding drug classes, mechanisms of action, and common side effects. Nurses can consult a drug guide for specific information such as dosage, contraindications, and interactions. This approach ensures they can safely and effectively administer medications while remaining adaptable to new drugs and evolving guidelines.
Choice C rationale
Understanding drug actions associated with each classification of medication is crucial, but it is only one aspect of pharmacology. Nurses also need to know about side effects, contraindications, and patient-specific considerations. Comprehensive drug knowledge requires ongoing education and consultation of reliable resources.
Choice D rationale
Current pharmacologic therapy knowledge is essential, but it is not static. Medical and pharmaceutical fields are constantly evolving, with new drugs, research, and guidelines emerging regularly. Nurses must engage in ongoing education to maintain their competence and provide the best care for their patients. .
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