Nokea
The physician orders meperidine (Demerol) 50 mg IM every 3-4 h PRN for pain for a client. The client asks the nurse for the medication at bedtime. Prior to administering the pain medication, the nurse should
- A. take measures to determine if the pain is psychological.
- B. check to see if the man has a history of addiction.
- C. try several other comfort and pain relief measures.
- D. learn the location, character, and intensity of the pain.
Correct Answer: D
Rationale: assessment first step in nursing process
You may also like to solve these questions
A client comes to the clinic complaining of severe facial pain. In order to collect subjective data from the client, it is MOST important for the nurse to
- A. obtain the client's vital signs.
- B. interview the client.
- C. inspect the face for grimacing.
- D. administer pain medication.
Correct Answer: B
Rationale: subjective data is collected in the health history or interview
The nurse is monitoring a 20-year-old woman in active labor who is receiving oxytocin (Pitocin) 1 mU/min IV. The nurse should stop the infusion if
- A. the contractions occur at 3-minute intervals and last more than 60 seconds.
- B. the contractions occur at 2.5-minute intervals and last more than 60 seconds.
- C. the contractions occur at 2-minute intervals and last more than 90 seconds.
- D. the contractions occur at 2-minute intervals and last more than 60 seconds.
Correct Answer: C
Rationale: contractions should be less frequent (longer than 2-minute intervals) and should be of shorter duration (less than 90 seconds) allows for longer resting time between contractions
A client is scheduled to have a parathyroidectomy. The nurse would be MOST concerned if the client was observed eating quantities of food from which of the following food groups?
- A. Milk products.
- B. Green vegetables.
- C. Seafood.
- D. Poultry products.
Correct Answer: A
Rationale: low-calcium diet is recommended preoperatively
A client reports that he has been vomiting for three days, has a low-grade temperature, and feels lethargic. Which of the following nursing actions is MOST appropriate in evaluating for fluid volume deficit?
- A. Obtain a urinalysis for casts and specific gravity.
- B. Determine client's weight and assess gain or loss.
- C. Ask client to provide a 24-hour intake and output record.
- D. Determine the quality of the client's skin turgor.
Correct Answer: B
Rationale: daily weight is the best way to evaluate for fluid volume deficit
A family member of a client who has sustained an electrical burn states, 'I don't understand why he has been here a week. The burn does not look that bad.' Which of the following responses by the nurse is BEST?
- A. Electrical burns are more prone to infection.
- B. Electrical burns are always much worse than they look on the outside.
- C. Cardiac monitoring is important because electrical burns affect cardiac function.
- D. Electrical burns can be deceptive because underlying tissue is also damaged.
Correct Answer: D
Rationale: electrical burn injuries are typically more injurious to underlying tissue such as nerve and vascular tissue, which require complex and timely treatment