A nurse is caring for a postoperative client who received a dose of opioid pain medication 30 min ago. The client is now requesting another dose of pain medication to relieve continuing acute pain. Which of the following actions should the nurse take first?

Offer to give the client a back massage using warm lotion.

Explain that the client might not receive another dose for a few hours.

Ask the client about his previous pain relief measures.

Request that the provider prescribe another dose of opioid analgesia.

Answer and Explanation

The Correct Answer is C

A. Offer to give the client a back massage using warm lotion. This is a non-pharmacological intervention but may not address the client's acute pain effectively.
B. Explain that the client might not receive another dose for a few hours. This does not address the client's immediate need for pain relief.
C. Ask the client about his previous pain relief measures. This allows the nurse to assess the effectiveness of previous interventions and understand the client's pain history.
D. Request that the provider prescribe another dose of opioid analgesia. This might be necessary, but assessment of the client's pain and relief measures should be conducted first.

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Correct Answer is B

Explanation

A. Teach the client to strain when having a bowel movement. Straining can cause harm and is not recommended.
B. Encourage the client to drink a hot beverage just before she needs to defecate. A hot beverage can stimulate bowel movements and help establish a routine.
C. Allow the client to sit on the toilet for 1 hr to defecate. Prolonged sitting can cause discomfort and is not practical.
D. Limit exercise for the client while she is on the bowel training program. Exercise is beneficial for overall health and can promote regular bowel movements.

A. Increased fremitus B. Suprapubic tenderness C. Hypertension D. Abdominal distention

Correct Answer is B

Explanation

A. Increased fremitus Fremitus is related to lung conditions, not urinary tract infections.
B. Suprapubic tenderness This is a common sign of a urinary tract infection.
C. Hypertension Hypertension is not a specific indicator of a urinary tract infection.
D. Abdominal distention Abdominal distention is not a common sign of a urinary tract infection and is more related to gastrointestinal issues.

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A nurse is caring for a postoperative client who received a dose of opioid pain medication 30 min ago. The client is now requesting another dose of pain medication to relieve continuing acute pain. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bowel incontinence and is placed on a bowel training program. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is B

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