The nurse is caring for a client who reports running out of aspirin one week ago and taking ibuprofen as a replacement. Which information should the nurse obtain from the client first?

Reason for taking the aspirin.

Presence of gastric pain.

Amount of pain control.

Dosage of ibuprofen taken.

Answer and Explanation

The Correct Answer is A

Choice A reason: Understanding the reason for taking the aspirin is crucial because aspirin may be prescribed for various reasons, such as pain relief, anti-inflammatory purposes, or cardiovascular protection. Knowing the reason helps the nurse assess if ibuprofen is a suitable substitute or if additional interventions are needed.

Choice B reason: While the presence of gastric pain is important, it is secondary to understanding the underlying reason for aspirin use.

Choice C reason: Assessing the amount of pain control achieved with ibuprofen is important for managing the client's symptoms, but it is not the first priority.

Choice D reason: Knowing the dosage of ibuprofen taken is essential for determining if the client is taking an appropriate amount, but it comes after understanding the initial indication for aspirin use.

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Correct Answer is B

Explanation

Choice A reason: Attempting to comfort the client by agreeing with the delusions is not therapeutic and may reinforce the delusional beliefs.

Choice B reason: Presenting a personal perception of reality in a nonconfrontational manner helps the client recognize reality without creating conflict or distress.

Choice C reason: Disagreeing with the statement and setting clear limits may be perceived as confrontational and could increase the client's distress.

Choice D reason: Informing the healthcare provider is important but should not be the immediate action. Addressing the client's delusions therapeutically is the first priority.

A. It allows time to inhale the entire dispensed dose. B. It prevents mouth infections when an inhaler is used. C. It allows the medication to slowly enter the lungs. D. It increases the effectiveness of the medication.

Correct Answer is A

Explanation

Choice A reason: Using a spacer allows time for the client to inhale the entire dispensed dose, ensuring that the medication is delivered effectively to the lungs.

Choice B reason: While a spacer may reduce the risk of oral thrush, it is not specifically intended to prevent mouth infections.

Choice C reason: A spacer does not slow the entry of medication into the lungs; it helps to deliver the medication more effectively.

Choice D reason: While using a spacer can increase the effectiveness of the medication, the primary reason is that it allows the client to inhale the entire dose properly.

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The nurse is caring for a client who reports running out of aspirin one week ago and taking ibuprofen as a replacement. Which information should the nurse obtain from the client first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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