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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

This is a contraindication for receiving magnet therapy for pain relief because the magnetic field generated by the therapy can interfere with the functioning of the implanted defibrillator.
Choice A is wrong because having a prescription for metoprolol is not a contraindication for receiving magnet therapy for pain relief.
Choice B is wrong because being allergic to penicillin is not a contraindication for receiving magnet therapy for pain relief.
Choice D is wrong because having a history of alcohol use disorder is not a contraindication for receiving magnet therapy for pain relief.

A. Apply a bath blanket between the client and a cooling blanket. B. Place ice packs on the client's neck and behind the knees. C. Give the client a sponge bath using an alcohol-water solution. D. Cover the client with heavy blankets after shivering subsides.

Correct Answer is A

Explanation

A nurse should apply a bath blanket between the client and a cooling blanket when caring for a client who has a high fever.
This can help regulate the temperature of the environment and make it more comfortable for the patient.
Choice B is wrong because placing ice packs on the client’s neck and behind the knees is not recommended as it can cause further problems.
Choice C is wrong because giving the client a sponge bath using an alcohol-water solution is not recommended.
Choice D is wrong because covering the client with heavy blankets after the shivering subsides is not recommended as it can increase body temperature.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When reviewing the medical record of a client who asks about the use of magnet therapy for pain relief, which of the following findings is a contraindication for receiving this type of therapy?

Correct Answer is C

Explanation

A nurse is caring for a client who has a high fever. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

What findings should the nurse expect when assessing an older adult client?

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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?