CDM FINAL EXAM NCLEX Correctly answered Questions Revised and Graded Excellent
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Course
Nclex
Institution
Nclex
A client had a recent fall and has residual dizziness. What action by the nurse best promotes
safety for the client during dressing?
Have the client sit for as much dressing as possible.
Perform the majority of dressing for the client.
Teach the client to hold the bed with one hand.
Use a gai...
shivering only during rewarming-Shivering should not be allowed during therapeutic
hypothermia as is increases metabolic rate (and oxygen consumption) and causes coagulopathies.
Sedative are used to control shivering. The other actions are appropriate.
, A client is admitted with end-stage cancer and has several medications ordered for pain control,
including long-acting narcotics, non-narcotic pain medications, and medications for
breakthrough pain. The client complains loudly of pain of 2 on a 1-10 scale and is angry that the
pain cannot be controlled. Which intervention by the nurse is best?
Administer the medication for breakthrough pain.
Ask the client to explain more about the pain.
Inform the provider that the client needs more medication.
Teach the client how different pain medications work. - CORRECT ANSWER ✔✔ -Ask the
client to explain more about the pain.- The first step in the nursing process and the first step in
achieving pain control is assessment. There appears to be more occurring with this client that
simple pain control. In order to perform a holistic assessment, the nurse should listen
empathetically and have the client describe the current experience. After gathering date, the
nurse and client can work collaboratively to develop a pain management plan. The nurse realizes
that comfort is a holistic state under which pain management is achieved. The other options do
not include a holistic assessment but rather are reactive.
A client is given a new prescription for opioid pain medication to treat chronic pain and is also
given prescriptions for a stool softener and stimulant laxative. The client only wants to fill the
pain medication prescription. What response by the nurse is best?
"Well wait and see if you have constipation, then fill them if you do."
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