Four hours after surgery, a client reports nausea and begins to vomit. The nurse notes that the client has a scopolamine transdermal patch applied behind the ear. Which action should the nurse take?

Remove the transdermal patch until the vomiting subsides.

Reposition the transdermal patch to the client's trunk.

Explain that this is a side effect of the medication in the patch.

Notify the client's healthcare provider of the vomiting.

Answer and Explanation

The Correct Answer is D

A.   Removing the scopolamine patch is not indicated without consulting the healthcare provider.
B.   Repositioning the patch is not necessary as it is properly placed for its intended effect.
C.   While nausea and vomiting are potential side effects of scopolamine, it's important to notify the healthcare provider to determine the appropriate next steps.
D.   Notifying the healthcare provider allows for further evaluation and possible adjustment of the client's postoperative antiemetic regimen.

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Correct Answer is D

Explanation

A. While physical activity is important for overall health, it may not directly address constipation. Increasing fluid and fiber intake is a more specific intervention.

B. Stool softeners can be helpful, but dietary modifications should be attempted first before resorting to medications.
C. Gas-producing foods may not be directly related to constipation. The focus should be on promoting regular bowel movements through diet and hydration.
D. Increasing fluid and fiber intake is a recommended first-line approach for managing constipation in older adults.

A. Ask the client if they want a different manufacturer's glucose monitoring device. B. Evaluate the client's asthma medications that can elevate the blood glucose. C. Have the client demonstrate technique used to monitor blood glucose levels. D. Determine if the client is using a new insulin needle each administration. E. Have the client describe a typical day at work, home, and social activities.

Correct Answer is ["B","C","D","E"]

Explanation

A. Changing the glucose monitoring device is unlikely to address the root cause of the elevated blood sugars.
B. Some asthma medications, such as corticosteroids, can increase blood glucose levels. Evaluating these medications is essential.
C. Incorrect technique in monitoring blood glucose can lead to inaccurate readings.

Having the client demonstrate the technique can identify any errors.

D. Ensuring that a new insulin needle is used for each administration is important to prevent infection and ensure proper dosage.

E. Understanding the client’s daily routine, including diet, exercise, and stress levels, can provide insight into factors affecting blood glucose control.

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Four hours after surgery, a client reports nausea and begins to vomit. The nurse notes that the client has a scopolamine transdermal patch applied behind the ear. Which action should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who has constipation. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

Correct Answer is ["B","C","D","E"]

Explanation

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Four hours after surgery, a client reports nausea and begins to vomit. The nurse notes that the client has a scopolamine transdermal patch applied behind the ear. Which action should the nurse take?

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