Patient Data
The nurse reviews the prescriptions and plans initial steps for caring for the client.
Click to indicate which interventions the nurse should perform to care for this client. Each row must have one response option selected.
Inspect the bandage for drainage
Perform range of motion.
Administer ondansetron 4 mg IV.
Provide morphine 2 mg IV.
Check capillary refill on bilateral upper extremities
Palpate and compare radial pulses.
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}
Inspect the bandage for drainage: This is a standard post-injury assessment to monitor for excessive bleeding or other complications.
Perform range of motion: Range of motion exercises are contraindicated in cases of fractures, as movement could worsen the injury.
Administer ondansetron 4 mg IV: Ondansetron is an antiemetic that can help relieve the nausea the client is experiencing.
Provide morphine 2 mg IV: Morphine is indicated for pain management, especially since the client is experiencing significant pain.
Check capillary refill on bilateral upper extremities: This is important to assess circulation and ensure there is no vascular compromise.
Palpate and compare radial pulses: This assesses circulation and can help identify any vascular injury or compromise due to the humeral fracture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","E","H"]
Explanation
A. Caregivers often feel obligated to keep promises, but emphasizing a promise made to the mother may create more pressure. The nurse should instead encourage realistic expectations and flexibility in caregiving.
B. Moving a parent to a care facility does not reflect a lack of love. This statement might create guilt in the caregiver. The nurse should support the caregiver in considering all options without judgment.
C. Comparing caregiving to raising a child is unrealistic. The needs of elderly parents with complex health conditions are different from those of children. This comparison may add unnecessary pressure on the caregiver.
D. Caregiver stress can be overwhelming, and it's important for caregivers to prioritize self-care. Taking time for themselves and nurturing other relationships can help reduce burnout and maintain emotional well-being.
E. Involving the client in decision-making respects her autonomy, empowers her, and may reduce feelings of helplessness. It also provides the daughter with an opportunity to share responsibility for care, which can lessen her burden.
F. Caregivers can experience a range of emotions, including frustration, anger, or exhaustion. It is essential to allow the caregiver to acknowledge these feelings, but saying it’s "okay" to not like the person being cared for can create guilt and confusion. Instead, the nurse should normalize the range of emotions caregivers feel and provide emotional support.
G. Saying "no" is not selfish; it's necessary for maintaining a healthy balance. Encouraging caregivers to set boundaries is vital to prevent burnout.
H. Focusing on negative situations that may arise can increase anxiety and stress for the caregiver. Encouraging the daughter to focus on the present and practical steps can reduce unnecessary worry and help her manage her responsibilities more effectively.
Correct Answer is B
Explanation
A. Exenatide does not act exactly the same as insulin. It is a glucagon-like peptide-1 (GLP-1) receptor agonist, not insulin.
B. Notify your healthcare provider if you start having abdominal pain is important because abdominal pain is a known side effect of exenatide and may indicate a more serious issue like pancreatitis, which needs to be addressed promptly.
C. There are precautions when taking exenatide with other medications, especially those that affect gastrointestinal motility or glucose levels, so this statement is incorrect.
D. Exenatide should be injected within 60 minutes before a meal, not 30 minutes before or after, to optimize its effectiveness.
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