The practical nurse (PN) is explaining the use of an incentive spirometer to a postoperative client. The client asks the PN to administer an analgesic before using the spirometer. How should the PN respond?

Encourage the client to use the spirometer before receiving analgesia.

Offer to reschedule the spirometer instruction until several hours later.

Provide a PRN analgesic and then encourage use of the spirometer.

Reassure the client that use of the incentive spirometer is not painful.

Answer and Explanation

The Correct Answer is C

A. Encouraging the client to use the spirometer before analgesia can increase discomfort and reduce effort, leading to ineffective deep breathing. Pain control should be optimized first to promote participation and proper technique.

B. Delaying instruction for several hours postpones an important postoperative intervention that helps prevent complications such as atelectasis. Early and consistent use of the spirometer is essential for optimal recovery.

C. Administering a PRN analgesic first improves comfort, allowing the client to take deeper breaths and use the spirometer effectively. This approach supports both pain management and respiratory function, making it the best choice.

D. Reassuring the client that the spirometer is not painful dismisses the client’s concern and does not address the need for pain control. Postoperative clients often experience pain with deep breathing, so appropriate analgesia is necessary.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Assess her feelings about therapeutic abortions in the event the infant has been affected. - While important to consider potential outcomes, immediate care involves preventing transmission and managing the current outbreak.
B. Identify current sexual partners so that they can be evaluated and treated for genital herpes if necessary. - Contact tracing is important but not the highest priority in managing the current outbreak.
C. Instruct her to avoid sexual intercourse while active, visible lesions are present. - This is crucial to prevent transmission of the herpes virus to the sexual partner and to reduce the risk of complications for the pregnancy.
D. Determine if the client has taken acyclovir for this outbreak of genital herpes. - While important for understanding the treatment history, instructing the client on preventive measures has a higher priority.

A. Call the charge nurse to the room. B. Observe the appearance of the injection site. C. Cleanse the finger with soap and water. D. Explain the occurrence to the client.

Correct Answer is C

Explanation

A. Calling the charge nurse might be necessary, but the immediate action after a needlestick injury is to cleanse the affected area to minimize the risk of infection.
B. Observing the appearance of the injection site is important but not the first action following a needlestick injury.
C. Cleaning the finger with soap and water is the initial action to reduce the risk of infection following a needlestick injury.
D. Explaining the occurrence to the client is important but comes after taking care of the nurse's immediate health following a needlestick injury.

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The practical nurse (PN) is explaining the use of an incentive spirometer to a postoperative client. The client asks the PN to administer an analgesic before using the spirometer. How should the PN respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During the first trimester of pregnancy, a client who was treated for genital herpes with acyclovir prior to this pregnancy tells the practical nurse (PN) that she is experiencing an episode of genital herpes. Which nursing intervention has the highest priority?

Correct Answer is C

Explanation

The practical nurse (PN) administers an injection using a syringe with a retractable needle. After the needle is removed from the client's skin, the needle does not retract, and the PN gets stuck in the finger with the used needle. What action should the PN take first?

Correct Answer is C

Explanation

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The practical nurse (PN) is explaining the use of an incentive spirometer to a postoperative client. The client asks the PN to administer an analgesic before using the spirometer. How should the PN respond?