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A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the following medications for pain relief should the nurse include in the teaching that can be taken concurrently with enoxaparin?

A. Ibuprofen
B. Naproxen sodium
C. Acetaminophen
D. Aspirin

Correct Answer: C

Rationale: Rationale: Acetaminophen is the appropriate pain relief option to be taken concurrently with enoxaparin because it does not interfere with platelet aggregation or clotting factors, unlike other options. Ibuprofen, naproxen sodium, and aspirin are nonsteroidal anti-inflammatory drugs (NSAIDs) which can increase the risk of bleeding when taken with enoxaparin. Acetaminophen, on the other hand, does not have the same effect on platelet function, making it a safer choice for pain relief in patients taking enoxaparin.

Which of the following actions should the nurse include in the plan of care?

A. Give cromolyn nebulized solution every 8 hr
B. Administer analgesics on a scheduled basis for the first 24 hr
C. Apply a warm compress to the operative site once daily
D. Offer small amounts of clear liquids 6 hr following surgery.

Correct Answer: B

Rationale: The correct answer is B because administering analgesics on a scheduled basis for the first 24 hours post-surgery helps manage pain effectively. Pain management is crucial for patient comfort and promotes early mobilization. Choice A is incorrect because cromolyn nebulized solution is not typically used post-operatively. Choice C is incorrect as applying a warm compress once daily may not provide adequate pain relief. Choice D is incorrect as clear liquids are usually started slowly to prevent nausea and vomiting, not 6 hours post-surgery.

A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care?(Select all that apply.)

A. Give the client one simple direction at a time
B. Refute the client's delusions using logic
C. Allow the client to choose among a variety of activities each day
D. Reinforce orientation to time, place, and person
E. Establish eye contact when communicating with the client.

Correct Answer: A,D,E

Rationale: Correct Answer: A, D, E

Rationale:
A: Giving the client one simple direction at a time is essential for someone with dementia to reduce confusion and facilitate understanding.
D: Reinforcing orientation to time, place, and person helps maintain the client's sense of reality and reduce disorientation.
E: Establishing eye contact when communicating with the client enhances connection and understanding, aiding in effective communication.

Incorrect Choices:
B: Refuting the client's delusions using logic may lead to frustration and agitation, as individuals with dementia may not be able to understand or accept logical arguments.
C: Allowing the client to choose among a variety of activities each day may overwhelm them with choices, leading to increased confusion and agitation.

Which of the following findings indicates that the child may be experiencing hemorrhage?

A. Increased drowsiness
B. Elevated pain level
C. Diminished breath sounds
D. Frequent swallowing

Correct Answer: D

Rationale: Frequent swallowing can indicate bleeding in the throat post-tonsillectomy.

Which of the following information provided by the client indicates improvement? Select all that apply.

A. The client reports frequent toothaches and lack of dental care
B. The client makes eye contact and smiles when speaking.
C. The client's adult child prepares two muss per day for the client.
D. The client's clothing is clean and appropriate for the weather.
E. The client has gained 1.11 kg 14 ibL BMI is 18.9
F. The client receives three baths per week from a home care aide.

Correct Answer: B,C,D,E,F

Rationale: Improvement signs encompass hygiene, nutrition, weight gain, and social interaction.

ATI Comprehensive 2024 Exit Exam with NGN Related

Correct Answer: E,A