ATI RN Custom Exams Set 1 Related

Review ATI RN Custom Exams Set 1 related questions and content

Six hours after major abdominal surgery, a male client complains of severe abdominal pain; is pale and perspiring; has a thready, rapid pulse; and states he feels faint. The nurse checks the client's medication administration record and determines that the client receives another injection of pain medication in an hour. What is the appropriate action by the nurse?

  • A. Explain to the client that it is too early to have an injection for pain
  • B. Call the practitioner, report the client's symptoms, and obtain further orders
  • C. Reposition the client for greater comfort and turn on the television as a distraction
  • D. Prepare the injection and administer it to the client early because of the severe pain
Correct Answer: B

Rationale: The correct action for the nurse to take in this situation is option B: Call the practitioner, report the client's symptoms, and obtain further orders. The client is displaying symptoms that indicate potential complications, such as internal bleeding, which require immediate medical evaluation. Option A is incorrect because the client's condition suggests a more urgent need for assessment. Option C is inappropriate as it does not address the seriousness of the client's symptoms. Option D is dangerous and could exacerbate any underlying issue the client may be experiencing.