A nurse is caring for a client who has a fractured leg and rates their pain as 7 on a scale of 0 to 10. Which of the following medications should the nurse expect to administer?

Fentanyl

Aspirin

Hydrocodone

Acetaminophen

Answer and Explanation

The Correct Answer is C

Rationale:

A. Fentanyl: Fentanyl is a potent opioid typically reserved for severe, acute, or chronic pain such as in surgical or cancer-related conditions. It is not commonly used for moderate pain in stable orthopedic cases like a simple fracture.

B. Aspirin: Aspirin is a mild analgesic and anti-inflammatory. It may help with mild pain but is inadequate for moderate pain rated 7/10. Additionally, its antiplatelet effects can increase bleeding risk, especially post-trauma.

C. Hydrocodone: Hydrocodone is an opioid analgesic appropriate for managing moderate to severe pain, such as that caused by a fracture. It is commonly used in combination with acetaminophen and is suitable for a pain rating of 7/10.

D. Acetaminophen: Acetaminophen is effective for mild to moderate pain but may not provide sufficient relief for pain rated at 7/10. It is often used adjunctively but would not be the primary choice in this scenario.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Eat a light snack before bedtime: Consuming a small, easily digestible snack, such as a piece of fruit or a glass of milk, can help prevent hunger-related awakenings and promote relaxation, supporting better sleep in older adults.

B. Take a 1-hr nap during the day: Long daytime naps can disrupt the sleep-wake cycle and contribute to difficulty falling asleep at night. Short naps (20–30 minutes) earlier in the day are preferable for older adults.

C. Stay in bed at least 1 hr if unable to fall asleep: Remaining in bed when unable to sleep can reinforce negative associations between the bed and wakefulness, potentially worsening insomnia. Clients should get out of bed and engage in a quiet activity until sleepy.

D. Perform exercises prior to bedtime: Vigorous exercise close to bedtime can increase arousal, heart rate, and body temperature, making it harder to fall asleep. Exercise is best scheduled earlier in the day to promote nighttime sleep.

A. Weigh the client each day. B. Encourage the client to avoid napping during the day. C. Provide the client with high-calorie fluids every hr. D. Minimize environmental stimuli for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

Rationale:

• Weigh the client each day: Clients with mania often experience poor nutrition due to decreased appetite, lack of attention to meals, and excessive activity. Daily weight monitoring helps assess nutritional status and detect early weight loss, guiding interventions to maintain physical health during hospitalization.

• Encourage the client to avoid napping during the day: This client has not slept for two days. Sleep deprivation exacerbates mania and can lead to physical exhaustion or cardiac collapse. The nurse should encourage rest whenever possible, even in short increments, to help stabilize the client's mood and physical health.

• Provide the client with high-calorie fluids every hr: Clients in manic episodes may forget to eat or drink adequately. Offering frequent high-calorie fluids ensures sufficient caloric and hydration intake to prevent malnutrition and dehydration, supporting physical well-being and energy demands of hyperactivity.

• Minimize environmental stimuli for the client: Mania is characterized by extreme distractibility and a heightened response to the environment. A quiet, low-stimulus room (dim lights, limited visitors, low noise) helps reduce agitation and prevents the client's symptoms from escalating.

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A nurse is caring for a client who has a fractured leg and rates their pain as 7 on a scale of 0 to 10. Which of the following medications should the nurse expect to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

The nurse continues to care for the client. A nurse on the inpatient mental health unit is planning care for the client. For each potential provider's prescription, click to specify if the prescription is anticipated or contraindicated for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

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