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A client who is recovering from total knee surgery is preparing for discharge. Which of these statements indicates the client needs further teaching?

A.

"I can rotate acetaminophen with ibuprofen if needed for pain control, so I don't take too much of either one."

B.

"If I still have pain 10 minutes after taking 1000 mg of acetaminophen, I should take two of oxycodone-acetaminophen."

C.

"Taking more than 4000 mg of acetaminophen in a day can cause liver problems."

D.

"Taking acetaminophen often could mask any infection-related fevers I might have."

Answer and Explanation

The Correct Answer is D

a) The statement about rotating acetaminophen with ibuprofen for pain control demonstrates an  understanding of the principles of multimodal pain management and is appropriate.

b) The statement about taking two oxycodone-acetaminophen tablets if pain persists after a  certain time frame is appropriate and reflects awareness of appropriate pain management  strategies. 

c) The statement about the maximum daily dose of acetaminophen and its potential to cause liver  problems is accurate and indicates good knowledge. 

d) The statement about acetaminophen masking infection-related fevers is incorrect. While  acetaminophen can reduce fever, it does not mask the presence of an infection. This statement  indicates a need for further teaching. 


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Related Questions

Correct Answer is D

Explanation

a) Taking the medication to prevent asthma attacks is an appropriate use and does not require immediate intervention.

b) Using the rescue inhaler twice a month may indicate the need for further evaluation but does not pose an immediate threat.

c) Sleep disturbances are a known side effect of leukotriene blockers and may need attention, but it is not an urgent concern.

d) Expressing suicidal ideation and having a plan for self-harm is a critical situation that requires immediate intervention to ensure the client's safety and well-being.

Correct Answer is A

Explanation

Rationale for A: Ibuprofen is generally considered safe for use while breastfeeding, as it passes into breast milk in small amounts that are not expected to harm the infant.

Rationale for B: Lithium can have serious effects on a breastfeeding infant, as it can cause lethargy and developmental issues. Its use is generally not recommended during breastfeeding.

Rationale for C: Methotrexate is contraindicated during breastfeeding due to its potential toxicity and harmful effects on the infant, including possible effects on growth and development.

Rationale for D: Nicotine is harmful to infants and can affect their development. Smoking or using nicotine products while breastfeeding is discouraged due to the associated risks.

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