Questions and verified Answers
A client with a total of 110 mL of serosanguineous fluid output
within the first 24 hours following surgery. -Answer:-Fluid output
from Jackson Pratt drain
A client who is 4 hours postoperative with a heart rate of 98 per
minute. -Answer:-Postoperative heart rate
The highest priority medication for a client in end-stage
osteoporosis reporting severe pain is hydromorphone. -Answer:-
Medication priority for osteoporosis pain
Position the client with the affected extremity lower than the heart. -
Answer:-Client positioning for DVT
Administration of acetaminophen is an action to consider for pain
management. -Answer:-Acetaminophen administration
,Massage the affected extremity every 4 hours is not recommended
for DVT. -Answer:-Massage of affected extremity
Expel air bubble at the top of the prefilled syringe before injection. -
Answer:-Air bubble in prefilled syringe
Administer an NSAID for injection site discomfort. -Answer:-
Injection site discomfort management
The nurse should encourage the client to trust and express their
thoughts. -Answer:-Nurse-client trust
Clients may have an inability to identify common objects. -Answer:-
Cognitive assessment in schizophrenia
Decreased level of consciousness may be observed in clients with
schizophrenia. -Answer:-Consciousness level in schizophrenia
,An appropriate nursing response includes asking if the client has a
plan to end their life. -Answer:-Nursing response to suicidal ideation
The nurse should prioritize administering medication for severe
pain. -Answer:-Nursing action for severe pain
Monitor clients for neutrophil counts when they are on
chemotherapy. -Answer:-Client assessment for chemotherapy
Assess respiratory rate and prioritize interventions based on
findings. -Answer:-Nursing intervention for respiratory rate
Nurses should monitor vital signs and report any abnormalities
post-surgery. -Answer:-Monitoring postoperative clients
Educate clients on the proper administration techniques for
medications. -Answer:-Client education on medication
administration
, An antihistamine used to treat allergies, motion sickness, and
nausea. -Answer:-Promethazine
A potent opioid pain medication used to treat severe pain. -Answer:-
Hydromorphone
A nonsteroidal anti-inflammatory drug (NSAID) used for short-term
management of moderate to severe pain. -Answer:-Ketorolac
A tricyclic antidepressant used to treat depression and certain types
of pain. -Answer:-Amitriptyline
A condition where a blood clot forms in a deep vein, usually in the
legs. -Answer:-DVT (Deep Vein Thrombosis)
Limit the client's fluid intake to 1500 mL per day. -Answer:-Fluid
Intake Recommendation for DVT