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 D
Explanation
Choice A rationale
While nicotine use is a health concern, it does not directly relate to the safety of atorvastatin (Lipitor). However, smoking cessation is advisable for overall cardiovascular health.
Choice B rationale
Caffeine intake is not a primary concern related to the safety of atorvastatin. Monitoring other lifestyle factors like diet and exercise is more relevant.
Choice C rationale
Herbal therapy may interact with atorvastatin, but the primary safety concern is alcohol intake, which can increase the risk of liver damage when combined with atorvastatin.
Choice D rationale
Alcohol consumption is a significant concern when taking atorvastatin, as it can increase the risk of liver damage. Patients are advised to limit alcohol intake to prevent adverse effects. .
Correct Answer is A
Explanation
Choice A rationale
Barrier contraceptives are recommended for women taking HMG-CoA reductase inhibitors due to the potential teratogenic effects of these drugs. This precaution is crucial as these medications can cause fetal harm if used during pregnancy.
Choice B rationale
While ophthalmic examinations may be important for other medications, they are not a primary concern for HMG-CoA reductase inhibitors. These drugs mainly affect cholesterol synthesis and have less direct impact on vision.
Choice C rationale
Although a cholesterol-lowering diet is beneficial, it is not the primary teaching point when discussing HMG-CoA reductase inhibitors. The emphasis should be on medication adherence and managing potential adverse effects.
Choice D rationale
Reporting respiratory symptoms is important for many medications but is not the primary focus for HMG-CoA reductase inhibitors. The priority is to inform patients about the importance of contraception and potential side effects related to the medication.
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