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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

It is important for the UAP to receive proper education and training on how to care for a foot ulcer before being assigned to care for a client with this condition.

Choice B is not correct because advising the UAP to wear gloves when caring for the FP is not the first action the nurse should take.

Choice C is not correct because instructing the UAP to start with basic wound care precautions is not the first action the nurse should take.

Choice D is not correct because asking the UAP which action they would take first and stating why is not the first action the nurse should take.

A. Reads a book entitled "How to Sleep Better". B. Exercises in the morning and afternoon. C. Consumes antibiotics twice a day. D. Sleeps between 10 PM and 9 AM each night.

Correct Answer is C

Explanation

Antibiotics can have side effects that may contribute to fatigue and difficulty sleeping.

Choice A is not the correct answer because reading a book about how to sleep better is not a contributing factor to fatigue and difficulty sleeping.

Choice B is not the correct answer because exercising in the morning and afternoon can actually help improve sleep.

Choice D is not the correct answer because sleeping between 10 PM and 9 AM each night is a normal sleep schedule and should not contribute to fatigue and difficulty sleeping.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An ulcerated foot peronet (FP) is to be implemented. The UAPs state they have not yet been educated on this before charging assignments. What action should the nurse take first?

Correct Answer is A

Explanation

A client presents to the doctor's office with a report of fatigue and difficulty sleeping. Which information should the nurse recognize as a potential contributing factor?

Correct Answer is C

Explanation

While teaching a client how to perform a skill, the nurse determines that the client is experiencing sensory overload and is unable to learn effectively. Which action should the nurse implement?

An older woman with end-stage heart disease is hospitalized for severe heart failure. She is alert and requests that no heroic measures be implemented if her breathing stops. What actions should the nurse take first?

The nurse plans to encourage a group of young adult clients to engage in problem-solving strategies. Which of the following is most useful for the nurse to include?

A client is in contact isolation due to a stage IV coccyx wound infected with MRSA. The nurse plans interventions to prevent multiple infections. Which intervention is most appropriate to prevent the spread of MRSA to others?

A postoperative client has been prescribed three different analgesics for different levels of pain. What is the most important intervention the nurse should take when administering these medications to the client?

A client arrives at the emergency department (ED) with severe right upper quadrant pain. To assess the quality of the client's pain, which approach should the nurse use?

After a week of bed rest, a client is being assisted to a chair for the first time. The nurse raises the head of the bed and moves the client to a sitting position. What should the nurse implement next?

The nurse observes an unlicensed assistive personnel (UAP) feeding a client who had a cerebral vascular accident (CVA) and is at risk for aspiration. Which action by the UAP should the nurse recognize indicates the need for additional teaching?

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?