The nurse is caring for four different clients. Which of these clients should the nurse assess first?

The client who has a history of rheumatoid arthritis complaining of 5/10 pain in the joints of his hands.

The client who requires a chlorhexidine scrub prior to a double mastectomy this morning.

The client who can have nothing by mouth for a scheduled surgery this morning and received an ordered dose of insulin glargine the night before.

The client who is receiving digoxin with a blood pressure of 100/75 mmHg.

Answer and Explanation

The Correct Answer is D

a) Pain in a client with a history of rheumatoid arthritis is important but may not require immediate attention compared to potential complications of medication administration.

b) Preparing a client for a chlorhexidine scrub is important, but it is not an immediate priority compared to potential complications related to medication and vital signs.

c) A client who cannot have anything by mouth before surgery and received insulin glargine the night before needs monitoring, but it may not require immediate assessment compared to the potential complications of the client receiving digoxin with a blood pressure of 100/75 mmHg.

d) The client receiving digoxin with a blood pressure of 100/75 mmHg is at risk for toxicity, as low blood pressure may increase the concentration of digoxin. This client should be assessed first to prevent potential complications.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

a) The statement about rotating acetaminophen with ibuprofen for pain control demonstrates an understanding of the principles of multimodal pain management and is appropriate.

b) The statement about taking two oxycodone-acetaminophen tablets if pain persists after a certain time frame is appropriate and reflects awareness of appropriate pain management strategies.

c) The statement about the maximum daily dose of acetaminophen and its potential to cause liver problems is accurate and indicates good knowledge.

d) The statement about acetaminophen masking infection-related fevers is incorrect. While acetaminophen can reduce fever, it does not mask the presence of an infection. This statement indicates a need for further teaching.

A. "I will take this medication with meals to help prevent stomach upset." B. "I may experience tinnitus with higher doses of this medication." C. "I should stop drinking alcohol." D. "I may take up to 1000 mg four times daily for pain."

Correct Answer is B

Explanation

A) Taking ibuprofen with meals is a good practice to reduce the risk of stomach upset.

B) Tinnitus is not a typical side effect of ibuprofen, and this statement may indicate a misunderstanding or confusion with another medication.

C) Stopping alcohol consumption is advisable as it can increase the risk of gastrointestinal bleeding when combined with ibuprofen.

D) The dosing information provided is within the typical recommended range for ibuprofen, and the statement is accurate.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for four different clients. Which of these clients should the nurse assess first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is recovering from total knee surgery is preparing for discharge. Which of these statements indicates the client needs further teaching?

Correct Answer is D

Explanation

A nurse is providing teaching for an adult client with arthritis who has been instructed to take ibuprofen for discomfort. Which statement by the client indicates a need for further education?

Correct Answer is B

Explanation

Which variables can help determine the client's response to a drug? (Select all that apply.)

Which of these comments by a client taking a calcium channel blocker would indicate the need for additional teaching?

A nurse tells a nursing student that glucocorticoids given for rheumatoid arthritis are nearly identical to substances produced naturally by the body. The student remarks that the drug must be very safe. Which response by the nurse is correct?

Which are preventable causes of medication errors? (Select all that apply.)

A nurse is preparing discharge teaching for a client who will be going home on warfarin. Which of these client statements indicates the need for further instruction?

Which statement by the client shows a correct understanding of how they should take their levothyroxine?

The nurse is obtaining a history from a client who discloses daily use of St. John's Wort in addition to prescription drugs. Which effect of this dietary supplement would most concern the nurse?