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 A rationale
Cetirizine is an antihistamine used to treat allergy symptoms and is not an NSAID.
Choice B rationale
Celecoxib is a second-generation NSAID that selectively inhibits COX-2 enzyme, reducing inflammation and pain with a lower risk of gastrointestinal side effects.
Choice C rationale
Diphenhydramine is an antihistamine used to treat allergic reactions and is not an NSAID.
Choice D rationale
Aspirin is a first-generation NSAID that inhibits both COX-1 and COX-2 enzymes to reduce inflammation, pain, and fever.
Correct Answer is D
Explanation
Choice A rationale
Albuterol is a bronchodilator used to relax muscles in the airways and increase airflow to the lungs. It is primarily used in conditions such as asthma and chronic obstructive pulmonary disease (COPD), not as a decongestant.
Choice B rationale
Beclomethasone is a corticosteroid used to reduce inflammation in conditions such as asthma and allergic rhinitis. While it helps with symptoms, it is not classified as a decongestant.
Choice C rationale
Diphenhydramine is an antihistamine that alleviates allergy symptoms by blocking histamine action. It can relieve sneezing, itching, and runny nose but is not classified as a decongestant.
Choice D rationale
Phenylephrine is a decongestant that works by constricting blood vessels in the nasal passages. This reduces swelling and congestion, making it effective for managing symptoms of allergic rhinitis. .
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