Thirty minutes after receiving meperidine, the client develops a temperature of 101°F and the skin is warm and flushed with a notable rash on the chest and back.

The nurse contacts the primary health care provider and begins to document on an incident report.

Which information should be included?

The client had an allergic reaction to the ordered meperidine.

The primary health care provider was notified because the client developed a rash after receiving an opioid analgesic.

The client’s skin was warm and flushed, and a rash was noted on the chest and back.

Thirty minutes after receiving meperidine, the temperature was 101°F (38.3°C).

Answer and Explanation

The Correct Answer is D

Choice A rationale

Stating that the client had an allergic reaction to the ordered meperidine is not objective and does not provide specific details about the client’s condition.

Choice B rationale

Notifying the primary health care provider because the client developed a rash after receiving an opioid analgesic is important, but it does not include all the necessary details about the client’s condition.

Choice C rationale

Documenting that the client’s skin was warm and flushed, and a rash was noted on the chest and back is important, but it does not include the timing of the reaction or the client’s temperature.

Choice D rationale

Documenting that thirty minutes after receiving meperidine, the temperature was 101°F (38.3°C), the client’s skin was warm and flushed, and a rash was noted on the chest and back provides a complete and objective account of the client’s condition and the timing of the reaction.

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Correct Answer is ["5"]

Explanation

Step 1 is: Calculate the amount of diphenhydramine elixir needed per dose. 25 mg ÷ (12.5 mg ÷ 5 mL) = 10 mL The nurse should administer 10 mL per dose.

A. Visual Analog Scale. B. FLACC. C. Oucher. D. Faces.

Correct Answer is B

Explanation

Choice B rationale

The FLACC scale (Face, Legs, Activity, Cry, Consolability) is specifically designed for assessing pain in infants and young children who are unable to communicate their pain verbally.

Choice A rationale

The Visual Analog Scale is used for older children and adults who can understand and communicate their pain level.

Choice C rationale

The Oucher scale is used for children aged 3 to 12 years and involves matching facial expressions to a pain level.

Choice D rationale

The Faces scale is used for children aged 3 years and older who can point to a face that best represents their pain level.

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Thirty minutes after receiving meperidine, the client develops a temperature of 101°F and the skin is warm and flushed with a notable rash on the chest and back. The nurse contacts the primary health care provider and begins to document on an incident report. Which information should be included?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 6 hours as needed. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)

Correct Answer is ["5"]

Explanation

A nurse is caring for a 6-month-old infant who is postoperative following a myringotomy. Which of the following pain scales should the nurse use to determine the infant’s pain level?

Correct Answer is B

Explanation

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