Prior to administering pain medication to an adult postoperative client, what information should the practical nurse (PN) obtain? (Select all that apply.)

Height and weight of client prior to admission

Client's pain rating on a scale of 1 to 10

Time of last administration of pain medication

Eﬀectiveness of last pain medication administered

History of pain medication use during the past year

Answer and Explanation

Correct Answer : B,C,D

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Correct Answer is A

Explanation

Choice A rationale:

Gentamicin is known to have ototoxic effects and can lead to hearing loss, especially when administered via IV infusion. Monitoring for hearing changes is crucial to prevent permanent damage.

Choice B rationale:

Slurred speech is not a common adverse effect of gentamicin. It is more associated with neurological issues or medications affecting the central nervous system.

Choice C rationale:

Hyperthermia is not a typical adverse effect of gentamicin. It may be a sign of infection or another underlying condition but is not directly related to the medication.

Choice D rationale:

Hypotension is not a common adverse effect of gentamicin. It is more commonly associated with medications that affect blood pressure or underlying medical conditions.

A. Observe the client during and after meals. B. Suggest that the client assist with meal planning. C. Instruct the client about effective coping strategies. D. Refer the client to a support group for clients who have eating disorders.

Correct Answer is A

Explanation

Choice A rationale:

The nurse's first action when caring for a client with bulimia nervosa should be to observe the client during and after meals. This is essential to monitor for signs of binge-eating followed by compensatory behaviors such as vomiting or the misuse of laxatives. Timely observation can help ensure the client's safety and provide an opportunity for immediate intervention if necessary.

Choice B rationale:

Suggesting that the client assist with meal planning can be a beneficial intervention, but it should not be the first action. Clients with bulimia nervosa often have complex emotional and psychological issues related to their eating habits, so it's crucial to address the immediate risks of binge-purge episodes before moving on to meal planning.

Choice C rationale:

Instructing the client about effective coping strategies is important for long-term recovery, but it should not be the first action. Immediate safety concerns, such as monitoring for binge-purge behaviors, take precedence in the initial care of a client with bulimia nervosa.

Choice D rationale:

Referring the client to a support group is a valuable intervention in the long-term management of bulimia nervosa, but it should not be the first action. The immediate priority is to assess and address any acute risks associated with the disorder, such as binge-purge episodes.

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Prior to administering pain medication to an adult postoperative client, what information should the practical nurse (PN) obtain? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has pyelonephritis and is receiving gentamicin via IV infusion.Which of the following manifestations should the nurse identify as an adverse effect of the treatment?

Correct Answer is A

Explanation

A nurse is caring for a client who has bulimia nervosa.Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is reviewing the guidelines for documenting client care. Which of the following actions should the nurse plan to take?

A nurse is collecting data from a client during a routine prenatal visit.The client is in their second trimester of pregnancy and reports feeling dizzy, has a racing heart, and becomes pale while lying on their back.Which of the following actions should the nurse take?

A nurse in an acute mental-health facility is caring for an adolescent who is exhibiting destructive behavior. Which of the following actions should the nurse take after applying physical restraints to the client?

A home health nurse is caring for a client who has Alzheimer's disease.The client's son is concerned about his mother becoming frustrated.Which of the following interventions should the nurse include?

A nurse is collecting data from a client who has placenta previa.Which of the following findings should the nurse expect?

A nurse in a long-term care facility observes an assistive personnel who is incorrectly monitoring a client's blood glucose level. The nurse should report this observation to which of the following personnel first?

A nurse is contributing to the plan of care for a client who reports insomnia due to increased stress.Which of the following interventions is the nurse's priority?

A nurse in an acute care setting is preparing to administer medications to a client. Which of the following information should the nurse obtain to identify the client?