Nokea
A postoperative client has been prescribed three different analgesics for different levels of pain.What is the most important intervention the nurse should take when administering these medications to the client?
- A. Administer each medication at the same time to ensure pain relief.
- B. Administer the medication with the highest dose first, then the others.
- C. Administer the medications as ordered based on the client's pain level.
- D. Administer the medication with the longest duration of action
Correct Answer: C
Rationale: The most important intervention the nurse should take when administering these medications to the client is to assess the client's pain level and administer the appropriate medication based on the level of pain.
You may also like to solve these questions
The healthcare provider prescribes penicillin 800,000 units intramuscularly (IM) for a patient with a streptococcal infection. The vial available is labeled Penicillin 50,000 units/mL. How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.).
- A. 10
- B. 12
- C. 14
- D. 16
Correct Answer: D
Rationale: The healthcare provider prescribed 800,000 units of penicillin and the vial available is labeled 50,000 units/mL. To calculate the number of mL to administer, you need to divide the total number of units prescribed (800,000) by the number of units per mL (50,000). This gives you a result of 16 mL.
A client who had emergency gallbladder surgery yesterday is getting ready to be discharged.The nurse knows that the client speaks very little English. When teaching wound care, which method should the nurse use to evaluate the client's understanding of self-care at home?
- A. Have the client demonstrate prescribed wound care.
- B. Provide written instructions in the client's native language.
- C. After each instruction, ask the client if he/she understands.
- D. Have an interpreter repeat the wound care instructions.
Correct Answer: A
Rationale: The best way to evaluate the client's understanding of self-care at home is to have the client demonstrate prescribed wound care. This allows the nurse to directly observe the client's ability to perform the necessary tasks and provide feedback and clarification as needed.
An accident arrives at the emergency department (ED) with severe right lower quadrant abdominal pain.To assess the intensity of the client's pain, which approach should the nurse use?
- A. Ask the client to describe the pain.
- B. Provide a numeric pain scale.
- C. Identify effective pain relief measures.
- D. Observe body language and movement.
Correct Answer: B
Rationale: The assessment of pain intensity by a validated pain scale is a critical initial step, and a patient's self-reporting is widely considered as the key to effective pain management. According to good practice guidelines, clinicians must accept a patient's statement, regardless of their own opinions.
The nurse is caring for a male client with decreased circulation in the lower extremities. The client washes his feet in the shower but is unable to bend safely to dry the feet.While drying the client's feet, the nurse should emphasize the need to thoroughly dry which area of the feet?
- A. On the dorsal surfaces.
- B. Between the toes.
- C. Over the heels.
- D. Around the ankles.
Correct Answer: B
Rationale: While drying the client's feet, the nurse should emphasize the need to thoroughly dry between the toes. Moisture between the toes can create a breeding ground for bacteria and fungi, which can lead to infections such as athlete's foot.
While teaching a client how to perform a skill, the nurse determines that the client is experiencing sensory overload and is unable to learn effectively.Which action should the nurse implement?
- A. Demonstrate the skill speaking slowly and using simple terms.
- B. Reassure the client that the skill is not difficult to learn.
- C. Reduce the stimuli in the area before continuing the teaching.
- D. Provide the client with step-by-step written instruction.
Correct Answer: C
Rationale: Sensory overload happens when an individual is getting more input from their senses than their brain can sort through and process. Therefore, reducing the stimuli in the area can help the client's brain to better process the information being taught.