Which action should the nurse take first when a patient is seen in the outpatient clinic with neck pain?

Ask about numbness or tingling of the hands and arms.

Suggest the patient alternate use of heat and cold to the neck.

Provide information about therapeutic neck exercises.

Teach about the use of nonsteroidal anti-inﬂammatory drugs (NSAIDs).

Answer and Explanation

The Correct Answer is A

Choice A reason: Asking about numbness or tingling is important to rule out neurological issues that could be causing the neck pain.

Choice B reason: While heat and cold therapy may provide relief, it is not the first action to take before assessing the cause of the pain.

Choice C reason: Providing information about exercises is helpful but should come after an initial assessment.

Choice D reason: Teaching about NSAIDs is part of pain management but should follow an assessment of symptoms and potential causes.

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Correct Answer is D

Explanation

Choice A reason: Aspirin can irritate the stomach lining and increase acid reﬂux, worsening GERD symptoms. It is generally not recommended without consulting a healthcare provider.
Choice B reason : Mercury content in seafood is not directly linked to GERD. This statement is misleading and does not address known risk factors for GERD.
Choice C reason : Lying down after eating can indeed increase the onset of GERD as it allows stomach contents to ﬂow back into the esophagus more easily.
Choice D reason : Alcohol and caﬀeine can relax the lower esophageal sphincter, allowing stomach acid to rise into the esophagus and worsen GERD symptoms. Therefore, it is advisable to avoid or reduce their intake.

A. Ask whether the patient has any questions about the procedure. B. Ask the patient to void before the procedure. C. Check for an allergy to iodine or shellfish. D. Assess the client's ability to remain still for the procedure.

Correct Answer is C

Explanation

Choice A reason: While it is important to address any questions the patient may have, it is not the highest priority before an IVP procedure.

Choice B reason: Asking the patient to void before the procedure is a standard practice, but it is not the highest priority. The bladder should be empty to allow for clear imaging, but this can be managed at the time of the procedure.

Choice C reason: Checking for an allergy to iodine or shellfish is the highest priority because the contrast medium used in an IVP can cause severe allergic reactions in patients with these allergies. This assessment must be done before administering the contrast to prevent potentially life-threatening complications.

Choice D reason: Assessing the client's ability to remain still is important for the quality of the images, but it is not as critical as ensuring the safety of the patient regarding potential allergic reactions.

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Which action should the nurse take first when a patient is seen in the outpatient clinic with neck pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client about the risk factors for GERD (gastroesophageal reﬂux disease). Which of the following statements should the nurse include?

Correct Answer is D

Explanation

The nurse is caring for a client who is going to have an intravenous pyelogram (IVP) using a contrast medium. Which of the following assessments by the nurse are of the highest priority?

Correct Answer is C

Explanation

A nurse is caring for a client who has cirrhosis of the liver and is having difficulty eliminating alcohol consumption because many of their friends drink alcohol socially. Which of the following steps should the nurse include to motivate the client to change?

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Which of the following indicate to the nurse that lactulose is eﬀective for an older adult who has advanced liver cirrhosis?

Which of the following information should the nurse include when educating a client who has pulmonary edema as a result of a pre-existing cardiac condition? (Select all that apply)

A patient's blood gases show a pH of 7.53, PCO2 of 48, and HCO3 of 36 mEq/L. The nurse realizes that the acid-base disorder this patient is demonstrating is which of the following?

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?

The most reliable indicator of neurologic status is which of the following?

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