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 ["C"]

Explanation

Choice A rationale

The use of silicone-based vaginal lubricants is recommended for clients with Sjögren’s syndrome to alleviate vaginal dryness and discomfort during intercourse.

Choice B rationale

Using dehumidifiers in the home is not recommended for clients with Sjögren’s syndrome, as it can exacerbate dryness in the eyes, mouth, and other mucous membranes.

Choice C rationale

The use of artificial tears is essential for clients with Sjögren’s syndrome to relieve dry eyes and prevent complications such as corneal ulcers.

Choice D rationale

The use of contact lenses is not recommended for clients with Sjögren’s syndrome, as it can further irritate dry eyes and increase the risk of eye infections. .

A. Speak loudly and into the client’s good ear. B. Use sign language when communicating with the client. C. Sit by the client’s side and speak very slowly. D. Speak directly to the client in a normal, clear voice.

Correct Answer is D

Explanation

Choice A rationale

Speaking loudly and into the client’s good ear is not recommended. Loud speech can be distorted and uncomfortable for individuals with presbycusis.

Choice B rationale

Using sign language is not necessary unless the client is proficient in it. Most clients with presbycusis benefit more from clear verbal communication.

Choice C rationale

Sitting by the client’s side and speaking very slowly is not as effective as speaking directly to the client in a normal, clear voice.

Choice D rationale

Speaking directly to the client in a normal, clear voice is recommended. This ensures that the client can read lips and understand the conversation better.

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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

The nurse is creating a plan of care for a client diagnosed with Sjögren’s syndrome. Which interventions should the nurse incorporate in the plan for this client?

Correct Answer is ["C"]

Explanation

A nurse is caring for a client who has progressive presbycusis. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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