The practical nurse (PN) is reviewing instructions about use of postoperative analgesia with a client before surgery. The PN should remind the client to ask for pain medication at which time?

When the pain interferes with activities of daily living.

As soon as the client begins to feel pain.

When the client can no longer move comfortably.

Once the pain gets to a moderate level.

Answer and Explanation

The Correct Answer is B

A. When the pain interferes with activities of daily living: Waiting until pain affects daily functioning may cause unnecessary suffering and make pain harder to control. Postoperative pain management aims to address discomfort early before it escalates to a level that impairs normal activity.
B. As soon as the client begins to feel pain: Asking for pain medication at the onset of pain allows for more effective management. Treating pain early prevents the development of severe pain, enhances comfort, and often requires lower doses of medication compared to managing severe pain later.
C. When the client can no longer move comfortably: Delaying pain management until mobility is significantly impaired increases the risk of complications such as immobility, poor wound healing, and longer hospital stays. Early intervention is crucial for better outcomes.
D. Once the pain gets to a moderate level: Allowing pain to reach a moderate intensity before requesting medication can make it more difficult to control. It is better to preemptively manage pain to prevent escalation, leading to faster recovery and improved participation in rehabilitation activities.

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Correct Answer is C

Explanation

A. Discuss a low sodium diet: While teaching about a low sodium diet is important in managing fluid balance and hypertension, it is not the immediate intervention needed to address the acute symptoms and risks associated with the client's current condition.
B. Provide only distilled water: Distilled water is not necessary in managing acute kidney injury. Fluid intake management should be based on specific electrolyte and fluid needs, and the focus should be on controlling volume overload rather than the type of water provided.
C. Monitor for dependent pitting edema: Monitoring for pitting edema is critical because it provides immediate information about fluid overload, which is common with acute kidney injury. Assessing for edema provides information about the extent of fluid retention and helps evaluate the effectiveness of interventions aimed at managing fluid balance.
D. Use a cushion when sitting: Using a cushion may improve comfort but does not address the life-threatening complications of electrolyte imbalance, hypertension, and mental status changes associated with acute kidney injury. Priority should be on assessing and managing systemic symptoms.

A. Require family members and visitors to wear a mask and gown when visiting the client. B. Have the client stay in a room separate from the family with the door closed. C. Use paper plates and disposable utensils for the client's meals and snacks.. D. Place soiled dressings in a plastic bag that can be tightly secured for disposal.

Correct Answer is D

Explanation

A. Require family members and visitors to wear a mask and gown when visiting the client: Masks and gowns are needed in healthcare settings to prevent cross-contamination, but at home, strict use of personal protective equipment (PPE) is not typically necessary for a draining wound unless there is high-risk exposure. Basic hygiene is usually sufficient.
B. Have the client stay in a room separate from the family with the door closed: Isolation at home is generally not necessary unless the infection is highly contagious through casual contact. Emphasis should instead be placed on good wound care and proper hygiene practices.
C. Use paper plates and disposable utensils for the client's meals and snacks: There is no need to use disposable eating utensils. Normal dishwashing practices are adequate to prevent the spread of infection in a home environment, as long as proper cleaning is maintained.
D. Place soiled dressings in a plastic bag that can be tightly secured for disposal: Proper disposal of contaminated dressings in a sealed plastic bag prevents leakage and minimizes exposure to infectious materials. This practice protects household members from accidental contact with wound drainage.

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The practical nurse (PN) is reviewing instructions about use of postoperative analgesia with a client before surgery. The PN should remind the client to ask for pain medication at which time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) identifies an electrolyte imbalance, an elevated blood pressure, and exhibited changes in mental status for a client with acute kidney injury (AKI). Which intervention in the plan of care should the PN implement?

Correct Answer is C

Explanation

A male client who was treated for a draining, infected wound and placed on contact precautions while hospitalized is being discharged to his home where he lives with his wife and adolescent son. Which information should the practical nurse (PN) reinforce with the family?

Correct Answer is D

Explanation

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