The nurse is providing postoperative care for a client who complains of severe pain after receiving codeine 30 mg orally one hour ago.
Which intervention should the nurse implement next?
Ask the UAP to offer back rubs to the client.
Reassess the client and the level of pain.
Encourage the client to focus on taking deep breaths.
Tell the client the medication needs more time to work.
The Correct Answer is B
The nurse should reassess the client’s pain level and determine if additional interventions are needed to manage the pain.
Choice A is not the answer because while a back rub may provide some temporary relief, it does not address the underlying cause of the pain.
Choice C is not the answer because while deep breathing can help with relaxation, it does not address the underlying cause of the pain.
Choice D is not the answer because telling the client that the medication needs more time to work does not address their current pain level or provide any immediate relief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
While drying the client’s feet, the nurse should emphasize the need to thoroughly dry between the toes.
Moisture between the toes can create a breeding ground for bacteria and fungi, which can lead to infections such as athlete’s foot 1.
Choice A is not the answer because drying on the dorsal surfaces of the feet is not as important as drying between the toes 1.
Choice C is not the answer because drying over the heels is not as important as drying between the toes 1.
Choice D is not the answer because drying around the ankles is not as important as drying between the toes 1.
Correct Answer is B
Explanation
The symptoms of pain, numbness, and tingling sensations in the lower legs are consistent with neuropathic pain.
Neuropathic pain is a complex type of pain initiated or caused by a primary lesion or dysfunction in the nervous system1.
Therefore, the nurse should document the finding as neuropathic pain.
Choice A is not correct because acute pain is a general term that does not specify the type of pain experienced by the patient.
Choice C is not correct because visceral pain refers to pain that originates from internal organs.
Choice D is not correct because nociceptive pain refers to pain caused by tissue damage or injury.
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