A 53-year-old male patient with deep partial-thickness burns from a chemical spill in the workplace has severe pain followed by nausea during dressing changes.
Which action will be most useful in decreasing the patient's nausea?
Give the prescribed prochlorperazine before dressing changes.
Keep the patient NPO for 2 hours before dressing changes.
Avoid performing dressing changes close to the patient's mealtimes.
Administer prescribed morphine sulfate before dressing changes.
The Correct Answer is A
Prochlorperazine is an antiemetic medication that is commonly used to treat nausea and vomiting caused by various conditions, including chemotherapy, radiation therapy, and surgery. Giving the medication before the dressing changes, can prevent or minimize the onset of nausea and vomiting, which can be triggered by the pain and anxiety associated with the procedure.
Option B, keeping the patient NPO (nothing by mouth) for 2 hours before dressing changes, may be helpful in reducing the risk of aspiration if the patient needs sedation or general anesthesia for the procedure. However, it is not directly related to reducing the patient's nausea.
Option C, avoiding performing dressing changes close to the patient's mealtimes, may help reduce the risk of nausea caused by an overly full stomach, but it is not directly related to reducing the patient's nausea during the procedure.
Option D, administering prescribed morphine sulfate before dressing changes, may help reduce the patient's pain during the procedure, but it may also increase the risk of nausea and vomiting as a side effect. Therefore, this option may not be the most useful in decreasing the patient's nausea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","F","G"]
Explanation
Option A is incorrect because administering an ACE inhibitor may be a part of the patient's regular medication regimen, but it is not specific to preventing complications of diabetes mellitus while in the hospital.
Option b is incorrect because administering intravenous fluids at a high rate may result in fluid overload, electrolyte imbalances, and other complications, which may not be appropriate for this patient.
Option c is incorrect because administering glucagon is not a preventative measure, but rather an intervention for treating hypoglycemia.
Option d is correct because ensuring a well-lit path to the bathroom is important for fall prevention, but it does not directly address the prevention of complications of diabetes mellitus.
Option e is incorrect because encouraging the client to drink sugar-free liquids is a general recommendation for maintaining hydration and may not be specific to preventing complications of diabetes mellitus.
Option f is correct because teaching the client to rise slowly from the bed is important for preventing orthostatic hypotension, but it does not directly address the prevention of complications of diabetes mellitus.
Option g is correct because Patients with diabetes mellitus are at risk for hypoglycemia when taking insulin or oral hypoglycemic agents. Proper coordination of meal-time insulin with food delivery and consumption can help prevent hypoglycemia or hyperglycemia. This includes ensuring that the patient receives insulin at the appropriate time in relation to meals and monitoring blood glucose levels regularly.
Correct Answer is B
Explanation
IV fluids are not typically used as a treatment for UTIs (urinary tract infections) as they do not directly address the infection itself. The main reason for administering IV fluids to a patient with a UTI would be to ensure adequate hydration, especially if the patient is experiencing fever or other symptoms of dehydration. Adequate hydration can also help improve the efficacy of antibiotics in treating the infection by ensuring that the urinary system is properly functioning and able to flush out bacteria.
Therefore, option b would be the closest answer as IV fluids may be given to facilitate the administration of IV antibiotics. However, it is important to note that antibiotics are the primary treatment for UTIs, and IV fluids are usually given as a supportive measure to ensure the patient's overall well-being. Flushing bacteria from the urinary tract or diluting bacteria are not considered primary rationales for administering IV fluids in a patient with a UTI. Relief of pain and discomfort may be managed with pain medication, but this is not the primary reason for IV fluid administration.
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