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A nurse is caring for a client who is nauseated and unable to eat after taking an antibiotic. Identify the steps the nurse should take to address the client's nausea.

(Arrange the steps, placing them in the order of performance. Use all the steps.)

A.

Determine the probability of intervention-related complications.

B.

Review the potential benefits and consequences of each intervention.

C.

Select an intervention that provides the greatest benefit and least risk.

D.

Identify possible nursing interventions that address the client's nausea.

Answer and Explanation

The Correct Answer is D, B, A, C

When caring for a client who is nauseated and unable to eat after taking an antibiotic, the nurse should first identify possible nursing interventions that address the client's nausea. The nurse should then review the potential benefits and consequences of each intervention. The nurse should determine the probability of intervention-related complications. Finally, the nurse should select an intervention that provides the greatest benefit and least risk to the client.


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Related Questions

Correct Answer is B

Explanation

When providing preoperative teaching to a client over the phone in preparation for outpatient surgery, the nurse should explain the need for the client to have another adult drive them home following surgery. This is because the client may still be affected by anesthesia and may not be able to safely operate a vehicle.

a. Asking the client to shower 3 times the day before surgery is not necessary and may dry out the skin.

c. The client should typically stop drinking clear liquids 2 hours before surgery, not 1 hour.

d. The client should not wear makeup during surgery as it can interfere with the monitoring of their skin color and oxygen saturation.

Correct Answer is D

Explanation

The correct answer is choice d. Begin by testing the client while they are wearing glasses. Choice A rationale: Positioning the client 3.3 meters (10 feet) away from the chart is incorrect because the standard distance for the Snellen chart is 20 feet (6 meters). Choice B rationale: Documenting the largest line the client can read on the chart is part of the procedure, but it is not the initial action the nurse should take. The nurse must first ensure the client is wearing their glasses to get an accurate assessment. Choice C rationale: Instructing the client to begin the assessment with both eyes open is incorrect because visual acuity is typically tested one eye at a time, with the other eye covered. Choice D rationale: Beginning by testing the client while they are wearing glasses is correct because it provides the most accurate assessment of the client’s visual acuity in their usual state, ensuring the glasses are effectively correcting their vision​

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