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 A

Explanation

A. Ensuring comfort during the dying process is paramount in end-of-life care. Assessing and managing pain promptly supports quality of life and dignity in the client's final moments.
B. The nurse manager should be updated on the client's status. While communication with the nurse manager is important, it is not the immediate priority when a client is experiencing discomfort or pain.
C. The client's status should be conveyed to the chaplain. Involving spiritual care is important but secondary to addressing any immediate physical comfort needs of the client.
D. The impending signs of death should be documented. Documentation is important, but it is a secondary priority to the direct care and comfort needs of the client.

A. Case Manager B. Occupational Therapist C. Speech Therapist D. Respiratory Therapist E. Chief Nursing Officer F. Medical Assistant G. Pharmacy Technician H. Physical Therapist

Correct Answer is ["A","B","C","H"]

Explanation

A. A case manager can coordinate the overall care plan, ensuring the client receives appropriate services and support during recovery and discharge planning.
B. An occupational therapist can help the client regain the ability to perform activities of daily living (ADLs) and improve fine motor skills affected by the stroke.
C. A speech therapist can assist the client with speech and language difficulties, as well as swallowing issues that may have resulted from the stroke.
D. A respiratory therapist is typically involved if there are respiratory issues, which are not indicated in this case.
E. A chief nursing officer provides leadership and oversight roles, and not direct patient care.
F. A medical assistant is typically involved in basic clinical tasks but not in specialized stroke recovery.
G. A pharmacy technician fills prescriptions but doesn’t directly participate in client rehabilitation.
H. A physical therapist can help the client improve strength, balance, and mobility, which are often impaired after a

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending death. After notifying the family of the client's status, which priority action should the nurse implement?

Correct Answer is A

Explanation

Correct Answer is ["A","B","C","H"]

Explanation

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