A nurse is supervising a licensed practical nurse (PN) who is providing care to a client who is postoperative. Which of the following statements by the client requires the nurse to follow up with the PN?
“I have not received any of my medications today.”
“Do you know when I will be going home?”
“I do not know how to make the remote control work.”
“My dressing was changed earlier this morning.”
The Correct Answer is A
A. “I have not received any of my medications today.”
The statement "I have not received any of my medications today" requires follow-up from the nurse because it indicates a potential issue with the client's medication administration. It's important to ensure that the client receives the prescribed medications in a timely manner.
B. “Do you know when I will be going home?”
This is a question about the discharge plan and does not indicate an immediate issue that requires follow-up.
C. “I do not know how to make the remote control work.”
While it's a statement about the client's understanding of the remote control, it is not an urgent matter that requires immediate attention.
D. “My dressing was changed earlier this morning.”
This statement indicates that a care task (dressing change) has been completed and does not suggest a problem that requires urgent follow-up.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2 "]
Explanation
To calculate the number of tablets that the nurse should administer with each dose, the nurse needs to use the formula:
D/H x Q = X
where D is the desired dose, H is the dose on hand, Q is the quantity of the drug, and X is the amount to give.
In this case, D is 250 mg, H is 125 mg, Q is 1 tablet, and X is unknown. Plugging these values into the formula, we get:
250/125 x 1 = X
Simplifying, we get:
2 = X
Therefore, the nurse should administer 2 tablets with each dose of amoxicillin.
Correct Answer is C
Explanation
A. Discomfort at the puncture site:
Some discomfort at the puncture site is normal after a thoracentesis. It may be managed with pain medication as needed.
B. Serosanguineous drainage from the puncture site:
Serosanguineous drainage (a mix of clear and bloody fluid) is a common and expected finding after a thoracentesis. It is part of the normal post-procedure care.
C. Increased heart rate
Increased heart rate can be indicative of a complication following a thoracentesis, such as a pneumothorax or bleeding. This requires immediate attention, and the healthcare provider should be contacted promptly for further evaluation and intervention.
D. Decreased temperature:
A decreased temperature alone is not typically associated with complications following a thoracentesis. It may be related to other factors, but it is not an immediate concern compared to an increased heart rate.
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