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 A

Explanation

Choice A reason: Completing ongoing focused assessments, particularly for a client with wrist restraints, requires the clinical judgment and skills of an RN.

Choice B reason: Supervising a newly hired graduate nurse is important but can also be done by the charge nurse or another experienced RN.

Choice C reason: Transporting a client to the radiology department can be done by a UAP or PN.

Choice D reason: Administering PRN oral analgesics can be delegated to a PN.

A. Yellow expectorated sputum. B. Oral temperature of 100.5°F (38.1°C). C. Bilateral diffuse wheezing. D. Shortness of breath on exertion.

Correct Answer is C

Explanation

Choice A reason: Yellow expectorated sputum is indicative of an infection but does not require immediate intervention.

Choice B reason: An oral temperature of 100.5°F (38.1°C) suggests a mild fever, common with infections and manageable with antipyretics.

Choice C reason: Bilateral diffuse wheezing is a sign of airway obstruction and requires immediate intervention to ensure the client's airway remains open and they are able to breathe effectively.

Choice D reason: Shortness of breath on exertion is expected in clients with COPD and pneumonia but does not require the most immediate intervention compared to wheezing.

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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

The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (PN), and an unlicensed assistive personnel (UAP). Which task should the charge nurse assign to the RN?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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During an admission assessment, a client reports currently using heroin. Which information is most important for the nurse to consider in the plan of care?

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