A nurse is caring for a client that has type 2 diabetes.
Which of the following medications is used to treat type 2 diabetes and has an interaction with iodine-containing contrast dye?

Condition: Post-operative pain.

2 actions:

Administer acetaminophen (Tylenol) for mild pain,

Apply a warm compress to the surgical site.

2 parameters:

Pain level on a 0-10 scale,

Surgical site appearance.

Rationale for correct condition: Post-operative pain is expected after surgery and the client reports mild pain (2 out of 10). Managing pain is crucial for recovery and mobility. Mild pain indicates the need for non-opioid analgesics. Pain management enhances comfort and healing. Addressing pain prevents complications.

Rationale for actions: Administering acetaminophen targets mild pain effectively. It is appropriate for the reported pain level. Warm compresses can soothe soreness and reduce pain without medication. Encourages blood flow and healing. Encouraging ambulation prevents DVT but is not pain-focused. Monitoring for infection is important but not the priority for mild pain. Ondansetron treats nausea, not pain.

Rationale for parameters: Pain level on a 0-10 scale assesses pain management effectiveness. Monitoring pain ensures appropriate interventions. Surgical site appearance checks for complications affecting pain, like infection. Respiratory rate is stable and less relevant. Oxygen saturation is normal, unrelated to pain. Urine output monitors hydration, not pain.

Rationale for incorrect conditions: Post-operative nausea and vomiting is not reported. Surgical site infection would show signs like redness or fever. DVT focuses on circulation, not pain.

Choice A rationale

Codeine is an opioid used for the treatment of chronic nonproductive cough by decreasing the frequency and intensity. It acts on the brain to reduce the urge to cough, providing symptomatic relief for chronic, dry cough.

Choice B rationale

Codeine is not specifically used to treat allergic rhinitis. Medications such as antihistamines and corticosteroids are more commonly used for this condition.

Choice C rationale

Codeine is not used for non-allergic rhinitis. It is primarily an antitussive agent used to manage chronic cough, not for nasal conditions.

Choice D rationale

This choice is incorrect as codeine has specific indications, including the treatment of chronic nonproductive cough, pain relief, and sometimes as an antidiarrheal.