A nurse is caring for a client who is postoperative following arthroscopy and reports a pain level of 6 on a scale of 0 to 10 after receiving ketorolac 1 hr ago.
Which of the following actions should the nurse take?
Tell the client they can have another dose of ketorolac in 3 hr.
Administer oxycodone 5 mg orally.
Give acetaminophen 650 mg rectally.
Document that the client is exhibiting drug-seeking behaviors.
The Correct Answer is B
Choice A rationale:
Ketorolac is a non-steroidal anti-inflammatory drug (NSAID) used for pain relief after surgery. However, it’s not typically administered every 3 hours. Overuse can lead to serious side effects.
Choice B rationale:
If the client’s pain level remains high after receiving ketorolac, administering an opioid medication like oxycodone may be appropriate.
Choice C rationale:
While acetaminophen can be used for pain relief, rectal administration is not typically the first choice for postoperative pain management.
Choice D rationale:
It’s inappropriate to label a patient as exhibiting drug-seeking behaviors simply because their reported pain level remains high after medication. Pain is subjective and should be addressed appropriately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.2"]
Explanation
To calculate the dose of somatropin to be administered per dose, we first need to convert the child's weight from pounds to kilograms. We can do this using the following conversion factor:
1 kg = 2.2 lbs
Therefore, the child's weight in kilograms is:
weight_kg = 66 lbs / 2.2 lbs/kg = 30 kg
Next, we can calculate the total dose of somatropin to be administered per week using the following formula:
total_dose = weight_kg * 0.24 mg/kg/week
This gives us a total dose of:
total_dose = 30 kg * 0.24 mg/kg/week = 7.2 mg/week
Finally, we can calculate the dose of somatropin to be administered per dose by dividing the total dose by the number of daily doses:
dose_per_dose = total_dose / 6 doses/day = 1.2 mg/dose
Therefore, the nurse should administer 1.2 mg of somatropin per dose.
Answer: 1.2 mg of somatropin per dose.
Correct Answer is A
Explanation
Choice A rationale:
Administering an IV fluid bolus can help increase blood volume and thus increase blood pressure, which can alleviate symptoms of dizziness and lightheadedness. This is a common side effect of ramipril, especially after the first dose.
Choice B rationale:
Naloxone is an opioid antagonist and is not relevant in this context. It’s used to reverse the effects of opioid overdose, not to treat symptoms associated with antihypertensive medications.
Choice C rationale:
Diphenhydramine is an antihistamine used to treat allergic reactions or insomnia, not symptoms associated with antihypertensive medications.
Choice D rationale:
Administering 15 g of carbohydrates would be appropriate for a hypoglycemic patient, not for a patient experiencing dizziness and lightheadedness due to antihypertensive medication.
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