On the second postoperative day, a client who had a colon resection is starting to eat and ambulate with assistance. Although the client has a prescription for an oral analgesic, they request that the PCA containing morphine be continued for one more day due to fear of pain. Which intervention is most important for the nurse to implement?

Measure urinary output to ensure renal functioning.

Administer the oral analgesic medication an hour before discontinuing the PCA pump.

Monitor for a depressed respiratory rate.

Teach about the need to progress to a high-fiber diet.

Answer and Explanation

The Correct Answer is B

Choice A reason: Measuring urinary output is important for monitoring renal function, especially when using medications like morphine, but it is not the most critical intervention in this context.

Choice B reason: Administering the oral analgesic before discontinuing the PCA allows for the medication to take effect, preventing breakthrough pain and addressing the client's fear of pain.

Choice C reason: Monitoring for a depressed respiratory rate is crucial when a patient is on morphine, but the priority is to manage pain effectively as the client transitions to oral analgesics.

Choice D reason: Education on dietary needs is important for long-term recovery, but immediate pain management is a higher priority in the postoperative period.

Nursing Test Bank

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Correct Answer is D

Explanation

Choice A reason: Heat and cold therapy can help manage symptoms but are not directly related to health promotion and teaching.

Choice B reason: Avoiding foods containing purine is more related to conditions like gout, not rheumatoid arthritis.

Choice C reason: Immobilization of affected joints is not a health promotion strategy and can actually worsen rheumatoid arthritis symptoms over time.

Choice D reason: Prevention through nutrition and exercise is a key component of health promotion and teaching for clients with rheumatoid arthritis, as it can help manage symptoms and improve overall health.

A. Activate the lockdown procedure. B. Match ID bands of all infants and mothers on the unit. C. Ask the mother if any visitors were expected to arrive. D. Determine if the newborn is in the nursery.

Correct Answer is A

Explanation

Choice A reason: The immediate activation of the lockdown procedure is critical in the event of a suspected infant abduction, as it helps to secure the facility and prevent the unauthorized removal of the infant.

Choice B reason: Matching ID bands is a standard procedure but not the first action to take in a potential abduction scenario.

Choice C reason: Asking the mother about expected visitors is part of the investigation but does not take precedence over securing the facility.

Choice D reason: Determining if the newborn is in the nursery is important but should follow the immediate security measures.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing responsibility is related to health promotion and teaching for the client with rheumatoid arthritis?

Correct Answer is D

Explanation

A new mother on the postpartum unit runs out of the room screaming that her newborn infant's crib is empty and the baby is missing. Which action should the nurse take first?

Correct Answer is A

Explanation

The nurse is conducting intake interviews of children at a city clinic. Which child is most susceptible to contracting lead poisoning?

Patient Data Exhibits The nurse reviews the client data. What increases the client's chance for positive outcomes after the completion of the bariatric surgery? Select all that apply.

A client with leukemia undergoes a bone marrow biopsy. The client's laboratory values indicate the client has thrombocytopenia. Based on this data, which nursing assessment is most important following the procedure?

An older adult male client arrives at the clinic reporting that his bladder always feels full. The client also reports a weak urine flow, frequent dribbling after voiding, and increasing nocturia with difficulty initiating the urine stream. Which action should the nurse implement?

A client arrives for an annual physical exam and reports having calf pain. The client's health history includes peripheral arterial disease. Which question should the nurse ask the client about expected findings related to chronic arterial symptoms?

A client receives a prescription for itraconazole. Which statement made by the client requires additional instruction by the nurse?