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An adult client is admitted to the emergency department after falling from the ladder.
While waiting to have a computed tomography (CT) scan, the client requests something
for a severe headache. When the nurse offers a prescribed dose of acetaminophen, the
client asks for something stronger. Which intervention should the nurse implement?
A. Review client's history for use of illicit drugs
B. Explain the reason for using only non-narcotics
C. Assess client's pupils for their reaction to light
D. Request that the CT scan be done immediately - CORRECT ANSWER>>>>B.
Explain the reason for using only non-narcotics
The nurse is caring for a client who has chronic obstructive pulmonary disease (COPD)
and chest pain related to a recent fall. What nursing intervention requires the greatest
caution when caring for a client with COPD?
A. Monitoring telemetry and cardiac rhythm
B. Assisting client to cough and deep breath
C. Administering narcotics for pain relief
D. Increasing the client's fluid intake - CORRECT ANSWER>>>>C. Administering
narcotics for pain relief
The nurse is providing care for a client with schizophrenia who receives haloperidol
decanoate 75mg IM every 4 weeks. The client begins developing a puckering and
smacking of the lips and facial grimacing. Which intervention should the nurse
implement?
A. Monitor lying, sitting, and standing blood pressures
B. Provide coaching in relaxation techniques
C. Complete abnormal involuntary movement scale (AIMS)
D. Discontinue all medications immediately - CORRECT ANSWER>>>>C. Complete
abnormal involuntary movement scale (AIMS)
Prolonged exposure to high concentrations of supplemental oxygen over several days
can cause which pathophysiological effect?
A. Disrupted surfactant production
B. Metabolic acidosis
C. Aphasia and memory loss
D. Deep sleep or coma - CORRECT ANSWER>>>>A. Disrupted surfactant production
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