Aspirin 81 mg at 0900 daily is prescribed for an adult client. At 0800 the client asks for something for low back pain, but does not have any PRN analgesics prescribed. Which action is best for the nurse to take?
Wait until 0830 and administer the aspirin.
Obtain a prescription for a PRN analgesic.
Assess the client's prothrombin time (PT)/international normalized ration (INR).
Administer the prescribed daily aspirin now.
The Correct Answer is B
Choice A rationale: Waiting until 0830 and administering the aspirin would not address the client's immediate need for pain relief.
Choice B rationale: Obtaining a prescription for a PRN analgesic is the most appropriate action to provide the client with effective pain relief.
Choice C rationale: Assessing the client's prothrombin time (PT)/international normalized ratio (INR) is not necessary in this context and does not address the immediate pain concern.
Choice D rationale: Administering the prescribed daily aspirin now would not address the client’s lower back pain at the moment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: While understanding staff opinions on healthcare insurance costs is valuable, being available to discuss changes in health benefits is more directly related to the implementation of the new plan.
Choice B rationale: Announcing the new plan at a special employee wellness event is important, but being available to discuss the changes on all shifts ensures that all staff members have the opportunity to understand and address their concerns.
Choice C rationale: Surveying nurses to see who wants to keep the old benefits plan may not be as effective as being available to all shifts for direct communication about the changes.
Choice D rationale: Being available to all shifts to discuss the changes in health benefits is crucial for effective communication and addressing any concerns or questions that may arise during the implementation of the new plan.
Correct Answer is B
Explanation
Choice A rationale: The assessment is the client's signed power of attorney and a home medication list, which are important documents that indicate the client's wishes and potential drug interactions. While the client's healthcare power of attorney is important information, the reason for admission should be provided first to give context to the situation.
Choice B rationale: The nurse should start by presenting the immediate situation or concern, which is the client's increasing confusion which needs immediate attention. Choice C rationale: The recommendation is the nurse's suggestion for further diagnostic tests, interventions, or referrals based on the situation, background, and assessment. The currently prescribed medications are relevant, but the primary reason for admission should be communicated first to establish the context of the client's condition. Choice D rationale: The background is the fall at home as the reason for admission, which explains the possible cause of the confusion and the loss of consciousness. This comes after the situation which is the increasing confusion.
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