A nurse and assistive personnel (AP) are caring for a client who requests a PRN pain medication. After the nurse administers the medication, which of the following tasks should the nurse assign to the AP?

Document the client's respiratory rate in 1 hr.

Monitor the client for an allergic reaction for 30 min.

Check the client's response to the medication in 1 hr.

Evaluate the client for therapeutic eﬀects in 30 min.

Answer and Explanation

The Correct Answer is A

After the nurse administers a PRN pain medication to a client, the nurse can assign the assistive personnel (AP) to document the client's respiratory rate in 1 hour. This is within the scope of practice of an AP.

The other tasks are not appropriate for an AP to perform.

Monitoring the client for an allergic reaction and evaluating the client for therapeutic eﬀects are both nursing assessments that should be performed by the nurse.

Checking the client's response to the medication is also a nursing assessment that should be performed by the nurse.

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Free Nursing Study Resources

Correct Answer is C

Explanation

a. "Start the first patch on the seventh day of the menstrual cycle."

Explanation:

The correct answer is a. "Start the first patch on the seventh day of the menstrual cycle."

When providing teaching about a combination contraceptive transdermal patch, it is important to provide accurate and relevant information to ensure its eﬀectiveness and proper use.

Option b is not the correct answer. The contraceptive eﬀect of the transdermal patch does not continue for 6 months following discontinuation. Its eﬀectiveness lasts only as long as the client continues to use it according to the prescribed schedule.

Option c is not the correct answer. The transdermal patch should be applied to a clean, dry area of the skin that is free from cuts, rashes, or irritation. The lower abdomen is not a recommended site for application.

Option d is not the correct answer. While headaches can occur as a side eﬀect of hormonal contraceptives, it is not necessary to expect a headache during the first month. Side eﬀects can vary among individuals, and it is important to monitor and report any concerning symptoms to the healthcare provider.

By instructing the client to start the first patch on the seventh day of the menstrual cycle, the nurse provides specific guidance on when to initiate the contraceptive method. This ensures that the client is starting the patch at an appropriate time in their menstrual cycle, optimizing its eﬀectiveness

A. Reassure the client that she will adjust to changes to her body. B. Contact an occupational therapist to talk with the client C. Initiate a client referral to Reach to Recovery D. Explain that surgery can restore the breast to its original appearance

Correct Answer is C

Explanation

c. Initiate a client referral to Reach to Recovery.

Explanation:

When caring for a female client who has a new diagnosis of breast cancer and expresses concerns about potential changes to her body image, the nurse should initiate a client referral to Reach to Recovery. Reach to Recovery is a program provided by the American Cancer Society that connects breast cancer patients with trained volunteers who have gone through a similar experience. These volunteers can provide emotional support, information, and resources to help the client cope with the physical and emotional changes that may occur due to breast cancer and its treatment.

Explanation for the other options:

a .Reassure the client that she will adjust to changes to her body:

While providing reassurance is important, it may not be sufficient to address the client's concerns about potential changes to her body image. Initiating a referral to Reach to Recovery can provide the client with additional support and resources tailored to her specific needs.

b. Contact an occupational therapist to talk with the client:

While an occupational therapist may have valuable input on certain aspects of the client's care, such as functional abilities and adaptations, initiating a referral to Reach to Recovery would be more appropriate for addressing the client's concerns related to body image.

d. Explain that surgery can restore the breast to its original appearance:

While surgery options such as breast reconstruction can restore the breast to a similar appearance, it is not appropriate for the nurse to make guarantees about the outcome or appearance of the breast after surgery. Every individual's situation is unique, and the decision to undergo surgery and the results of such procedures are dependent on various factors. Referring the client to Reach to Recovery would be more beneficial in addressing her concerns holistically.

In summary, when a client with a new diagnosis of breast cancer expresses concerns about potential changes to her body image, the nurse should initiate a client referral to Reach to Recovery. This program can provide the client with the necessary emotional support and resources to navigate the physical and emotional changes associated with breast cancer and its treatment.

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A nurse and assistive personnel (AP) are caring for a client who requests a PRN pain medication. After the nurse administers the medication, which of the following tasks should the nurse assign to the AP?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is reinforcing teaching with a client who has a new prescription for a combination contraceptive transdermal patch. Which of the following should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is caring for a female client who has a new diagnosis of breast cancer. The client is concerned about potential changes to her body image depending on her choice of treatment. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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