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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A decrease in skinfold thickness: A decrease in skinfold thickness could be due to loss of subcutaneous fat, which might not be immediately concerning without other symptoms.
B. A triglyceride level of 150 mg/dL: A triglyceride level of 150 mg/dL is generally considered within normal limits.
C. A random blood glucose reading of 160 mg/dL: A random blood glucose reading of 160 mg/dL is elevated and could indicate impaired glucose tolerance, warranting further investigation.
D. A mole that is dark in color and tender: A dark, tender mole could be a sign of a potentially malignant melanoma and should be evaluated by a provider for further investigation and potential biopsy.
Correct Answer is B
Explanation
A. "Reward your toddler with a sticker for staying in the car seat during car rides." While positive reinforcement is important for encouraging desired behavior, it’s not directly related to car seat safety. The focus should be on proper restraint and minimizing distractions.
B. "Discourage your toddler from holding stuffed animals while in the car seatHolding stuffed animals or other objects can interfere with the proper fit and function of the car seat harness, potentially compromising safety during car rides. Encourage parents to keep the car seat area free from distractions and ensure that the harness fits snugly across the child’s shoulders and chest.
C. "Pad the shoulder harness with a cloth diaper to prevent irritation." Adding padding to the shoulder harness is not recommended as it can interfere with the proper fit and function of the car seat harness, potentially compromising safety.
D. "Start the car and keep it in park until your toddler is restrained in the car seat." This is unsafe. The car should never be started until all occupants are properly restrained.
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