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NCLEX-RN

Category - Care Management

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Nina the New Nurse is caring for a client admitted several hours earlier for a possible herniated intervertebral disk. The physician prescribed:

Ibuprofen 800mg every 8 hours
Propoxyphene HCL every 4-6 hours prn
Cyclobenzaprine HCL 10mg two times a day

The client is complaining of pain. What is Nina the New Nurse’s first action?

Administer ibuprofen.
Reposition client to decrease pain.
Notify physician of client’s complaints.
Determine nature of pain.

Explanation

Answer: D - Gathering more information to assess the location, characteristics, and nature of the client’s pain is the first step of the nursing process. The remaining options may be appropriate actions to take after determining the source of the problem.

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