A nurse is caring for a client who requests pain medication. Which of the following actions should the nurse perform first?

Administer the medication.

Review the effects of the pain medication.

Determine the location of the pain.

Reposition the client.

Answer and Explanation

The Correct Answer is C

A. Administering pain medication should be done after assessing the pain to ensure appropriate treatment.

B. Reviewing the effects of the pain medication is important but should be done after determining the specifics of the pain.

C. The first step in pain management is to assess the pain, including its location, intensity, and characteristics, to ensure that the appropriate treatment is provided.

D. Repositioning the client might help alleviate pain, but it should be considered after assessing the pain.

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Correct Answer is ["A","B","E"]

Explanation

A. Immobility is a significant risk factor for DVT because it can lead to blood stasis in the veins, increasing the risk of clot formation.

B. Fractures, particularly of the lower limbs, can lead to immobilization and contribute to the development of DVT.

C. Atrial fibrillation is associated with an increased risk of clot formation, but these clots typically form in the atria of the heart, not the deep veins. While these clots can embolize to other parts of the body, atrial fibrillation itself is not a direct cause of DVT.

D. Anticoagulant therapy is typically used to prevent DVT, not as a risk factor.

E. Estrogen therapy is associated with an increased risk of clot formation, making it a risk factor for DVT.

A. Allow the client to consume clear liquids up to the time of surgery. B. Allow the client to keep her tongue stud in. C. Allow the client to take her morning vitamins. D. Allow the client to keep her hearing aids in.

Correct Answer is D

Explanation

A. Consuming clear liquids up to the time of surgery is generally not allowed due to the risk of aspiration during anesthesia.

B. Tongue studs and other jewelry should be removed before surgery to prevent injury or interference with medical equipment.

C. Taking morning vitamins before surgery is typically not permitted unless specifically allowed by the healthcare provider, as they can affect anesthesia or surgical outcomes.

D. Allowing the client to keep her hearing aids in until the last possible moment helps with communication, reduces anxiety, and ensures the client can hear important information during pre-operative preparations.

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A nurse is caring for a client who requests pain medication. Which of the following actions should the nurse perform first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a newly licensed nurse about causative risk factors for deep vein thrombosis (DVT). Which of the following should be included in the teaching? (Select All that Apply.)

Correct Answer is ["A","B","E"]

Explanation

A nurse is preparing a young adult client who has a hearing impairment for surgery. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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