A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr.
Which of the following actions should the nurse take first?
Offer pain medication.
Auscultate bowel sounds.
Palpate the abdomen.
Administer an antiemetic.
The Correct Answer is B
The nurse should first auscultate the client’s bowel sounds.
This will provide important information about the client’s gastrointestinal function and can help determine the cause of the client’s symptoms.
Choice A is wrong because while offering pain medication may provide temporary relief, it does not address the underlying cause of the client’s symptoms.
Choice C is wrong because palpating the abdomen before auscultating bowel sounds can alter the bowel sounds and make it more difficult to accurately assess the client’s condition.
Choice D is wrong because administering an antiemetic may provide temporary relief from nausea and vomiting, but it does not address the underlying cause of the client’s symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
During the contemplation stage of health behavior change, the client is thinking about change and becoming motivated to get started.
The nurse should present information about the benefits of quitting smoking to help the client assess the benefits of change.
Choice A is not correct because developing a plan for the client to integrate the change into her lifestyle is more appropriate for the preparation stage.
Choice B is not correct because recommending small changes for the client to make to change her behavior over time is more appropriate for the action stage.
Choice C is not correct because assisting the client in setting goals to make the change is more appropriate for the preparation stage.
Correct Answer is A
Explanation
This statement indicates that the nurse should properly position the fracture bedpan to facilitate its use.
The shallow end of the fracture bedpan should be placed under the client’s buttocks to provide support and comfort.
Choice B is wrong because hyperextending the client’s back can cause discomfort and may not facilitate the use of the fracture bedpan.
Choice C is wrong because it is not necessary for the client to try to defecate for 20 minutes while on the fracture bedpan.
Choice D is wrong because keeping the bed flat may not provide the most comfortable position for the client while using the fracture bedpan.
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