Exhibits

A nurse is planning care for a newly admitted client. Which of the following interventions should the nurse plan to take first?

Initiate an IV access for the client.

Administer pain medication to the client.

Send the client to radiology for a CT scan.

Insert an NG tube for the client.

Answer and Explanation

The Correct Answer is A

A.   Initiating IV access is a priority to establish a route for medication administration and fluid resuscitation, which are crucial in the management of acute pancreatitis.
B.   Administering pain medication is important, but establishing IV access should be prioritized to ensure timely delivery of medications and fluids.
C.   Sending the client to radiology for a CT scan may be necessary but should not take precedence over establishing IV access for immediate intervention.
D.   Inserting an NG tube may be indicated later in the client's care but is not the first priority compared to establishing IV access.

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Correct Answer is A

Explanation

A. Assessing the client's pain level is the first step to ensure appropriate pain management during the procedure.

B. Irrigating the wound comes after assessing the client's pain level and preparing the wound for the dressing change.

C. Applying skin preparation to wound edges is part of the preparation process but should come after assessing the client's pain level.

D. Donning sterile gloves is necessary for the procedure but should come after assessing the client's pain level.

A. Encourage the client to ambulate in the hallway 1 hr before bedtime. B. Tell the client to avoid drinking fluids 1 hr before bedtime. C. Schedule routine care tasks during hours when the client is awake. D. Advise the client to leave the television in the room on when trying to fall asleep.

Correct Answer is C

Explanation

A. Encourage the client to ambulate in the hallway 1 hr before bedtime - While light exercise during the day can promote better sleep, exercising close to bedtime can actually disrupt sleep.

B. Tell the client to avoid drinking fluids 1 hr before bedtime - While limiting fluids close to bedtime can reduce nighttime awakenings to urinate, it may not directly address difficulty falling asleep.

C. Schedule routine care tasks during hours when the client is awake - This action ensures that the client can maximize restful sleep during the night by minimizing disruptions from care

activities.

D. Advise the client to leave the television in the room on when trying to fall asleep - Screen

time before bed can interfere with falling asleep due to the stimulating effect of light and content.

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Exhibits A nurse is planning care for a newly admitted client. Which of the following interventions should the nurse plan to take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a dressing change for a client who has a sacral wound using negative pressure wound therapy. Which of the following actions should the nurse take first?

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Correct Answer is C

Explanation

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Exhibits

A nurse is planning care for a newly admitted client. Which of the following interventions should the nurse plan to take first?