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 C
Explanation
The most important intervention the nurse should take when administering these medications to the client is to assess the client’s pain level and administer the appropriate medication based on the level of pain.
Choice A is not the correct answer because administering all medications at the same time may not provide effective pain relief and could result in overmedication.
Choice B is not the correct answer because administering the medication with the highest dose first may not provide effective pain relief and could result in overmedication.
Choice D is not the correct answer because administering the medication with the longest duration of action first may not provide immediate pain relief.
Correct Answer is ["1"]
Explanation
The nurse should instruct the client to take 1 tablespoon within each dose.
Since the prescription is for 30 mg of dextromethorphan and the bottle is labeled “Dextromethorphan for Oral Suspension, USP 30 mg per 15 mL”, the client should take 15 mL of the suspension per dose.
Since there are 15 mL in 1 tablespoon, the client should take 1 tablespoon of the suspension per dose.
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