A nurse in an outpatient clinic is teaching a client who has a new prescription for oxycodone. Which of the following instructions should the nurse include in the teaching?

"You should take a stool softener while taking this medication."

"You should minimize exposure to sunlight while taking this medication."

"You should take this medication on an empty stomach."

"You might urinate more frequently while taking this medication."

Answer and Explanation

The Correct Answer is A

A. "You should take a stool softener while taking this medication.": Oxycodone is an opioid that commonly causes constipation by slowing gastrointestinal motility. Taking a stool softener or other bowel regimen helps prevent discomfort and promotes regular bowel movements.

B. "You should minimize exposure to sunlight while taking this medication.": Photosensitivity is not a typical adverse effect of oxycodone. Limiting sun exposure is unnecessary unless the client is taking other medications that increase photosensitivity.

C. "You should take this medication on an empty stomach.": Oxycodone can be taken with or without food. Taking it on an empty stomach may increase gastrointestinal discomfort rather than improve absorption.

D. "You might urinate more frequently while taking this medication.": Opioids like oxycodone often cause urinary retention, not increased urination. This statement does not reflect the expected pharmacologic effect.

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Correct Answer is D

Explanation

A. Dorsogluteal: The dorsogluteal site is not recommended for infants due to the risk of injury to the sciatic nerve and the small size of the gluteal muscle, which may lead to improper absorption or trauma.

B. Rectus femoris: The rectus femoris can be used for IM injections in adults, but in infants, the muscle is underdeveloped and difficult to access safely, increasing the risk of injury and improper medication absorption.

C. Deltoid: The deltoid muscle is too small in infants for safe intramuscular injections. Using this site may cause nerve injury or insufficient muscle mass for proper medication absorption.

D. Vastus lateralis: The vastus lateralis is the preferred site for IM injections in infants because it has well-developed muscle tissue, is easily accessible, and carries a lower risk of nerve or vascular injury, ensuring safe and effective medication delivery.

A. The client administers a PCA dose as soon as their pain returns. B. The client is ambulating with the PCA pump. C. The client administers a PCA dose prior to dressing changes. D. The client requests their partner administer PCA doses while they sleep.

Correct Answer is D

Explanation

A. The client administers a PCA dose as soon as their pain returns: This is an appropriate action because PCA pumps are designed for the client to self-administer medication when pain begins to recur, maintaining adequate control and preventing severe discomfort.

B. The client is ambulating with the PCA pump: Ambulation with the PCA pump is acceptable as long as the pump is securely attached to an IV pole or portable stand and safety measures are followed. Mobility helps prevent postoperative complications such as deep vein thrombosis.

C. The client administers a PCA dose prior to dressing changes: Administering a dose before a painful procedure helps achieve optimal pain control, ensuring the client is comfortable during care activities.

D. The client requests their partner administer PCA doses while they sleep: The nurse should intervene because only the client should activate the PCA pump. Allowing another person to administer doses increases the risk of oversedation and respiratory depression, making this practice unsafe.

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A nurse in an outpatient clinic is teaching a client who has a new prescription for oxycodone. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an IM injection to an infant. Which of the following injection sites should the nurse select for administering the medication?

Correct Answer is D

Explanation

A nurse is caring for a client who is postoperative and using a PCA pump. For which of the following actions should the nurse intervene?

Correct Answer is D

Explanation

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