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 A
Explanation
Choice A rationale
Ciprofloxacin is a bactericidal antibiotic that works by inhibiting DNA gyrase, an enzyme necessary for DNA replication in bacteria. This prevents bacterial cells from replicating and ultimately leads to their death.
Choice B rationale
Ciprofloxacin does not accelerate bacterial growth; instead, it inhibits growth by preventing DNA replication.
Choice C rationale
Ciprofloxacin is not a diuretic. Diuretics work on the kidneys to increase urine production, but ciprofloxacin targets bacterial DNA replication.
Choice D rationale
Ciprofloxacin is not a beta-blocker and does not lower heart rate or blood pressure. Beta-blockers work by blocking beta-adrenergic receptors in the heart.
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
Ethinyl estradiol and drospirenone (Yaz) is a combination oral contraceptive used to prevent pregnancy. It works by inhibiting ovulation, altering the cervical mucus to prevent sperm penetration, and changing the uterine lining to prevent implantation.
Choice B rationale
Finasteride is not used for contraception or prevention of pregnancy. It is primarily used to treat benign prostatic hyperplasia (BPH) and androgenetic alopecia (male pattern baldness).
Choice C rationale
Desogestrel (Mirena) is a hormonal intrauterine device (IUD) used for long-term contraception. It releases a progestin hormone that thickens cervical mucus, inhibits sperm motility, and thins the endometrial lining to prevent pregnancy.
Choice D rationale
Medroxyprogesterone acetate (Depo-Provera) is an injectable contraceptive that provides long-term prevention of pregnancy. It prevents ovulation and thickens cervical mucus to inhibit sperm penetration.
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