A nurse is caring for a 78-year-old male client admitted to the Surgical unit after having a total right knee replacement.
The nurse reviews the client's nursing note, vital signs, and medication administration record (MAR). Based on the findings, which medication is appropriate for the client?
Complete the following sentence by using the lists of options regarding the post-operative client:
The nurse should understand that
The Correct Answer is {"dropdown-group-1":"B"}
The correct answer is Choice B. Choice A rationale: Ondansetron (Zofran) is an antiemetic used to prevent nausea and vomiting. The client denies nausea and vomiting, so this medication is not necessary at this time.
Choice B rationale: Acetaminophen (Tylenol) is appropriate for managing mild pain, which the client reports as 2 out of 10 on the pain scale. This medication effectively alleviates mild pain without significant side effects, making it suitable for the client’s current condition.
Choice C rationale: Hydrocodone/Acetaminophen (Norco) is a combination of an opioid and acetaminophen used for moderate to severe pain. Since the client reports only mild pain (2 out of 10), this stronger medication is not warranted and could cause unnecessary side effects.
Choice D rationale: Melatonin is used to help with sleep. The client does not report any issues with sleep, so administering this medication is not relevant to the current situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice B rationale
Sucralfate (Carafate) acts by forming a viscous, adhesive substance that binds to the ulcer site, creating a physical barrier protecting it from stomach acid and allowing healing.
Choice A rationale
Sucralfate does not function as an endogenous prostaglandin; it does not mimic or enhance prostaglandin activity in the GI tract.
Choice C rationale
Sucralfate does not neutralize gastric acid; that is the function of antacids.
Choice D rationale
Sucralfate does not antagonize H2 receptors on parietal cells; H2 receptor antagonists are a different class of medication.
Correct Answer is A
Explanation
Choice A rationale
Lactated Ringers (LR) is an isotonic solution, which means it has the same osmolarity as blood plasma. This property makes LR suitable for rehydrating patients without causing a significant shift of fluids between compartments, maintaining the balance of electrolytes.
Choice B rationale
0.45% Sodium Chloride is a hypotonic solution, meaning it has a lower osmolarity compared to blood plasma. This type of solution would cause fluid to move into cells, potentially leading to cellular swelling.
Choice C rationale
Dextrose in Lactated Ringers is a hypertonic solution because the added dextrose increases the osmolarity. This solution can cause fluid to shift out of cells, leading to cellular shrinkage, which is not ideal for rehydration.
Choice D rationale
None of the above is incorrect because Lactated Ringers (LR) is indeed an isotonic solution.
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