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"]
Explanation
Step 1: Convert the child's weight from pounds to kilograms.
44 pounds / 2.2 pounds/kg = 20 kg
Step 2: Calculate the child's total daily dose of gentamicin.
20 kg * 6 mg/kg/day = 120 mg/day
Step 3: Divide the child's total daily dose of gentamicin by the number of doses per day.
120 mg / 3 doses/day = 40 mg/dose
Step 4: Calculate the volume of gentamicin to be administered with each dose.
40 mg / 40 mg/mL = 1 mL/dose
Step 5: Round the answer to the nearest whole number and add a leading zero if necessary.
1 mL/dose = 1 mL/dose
Answer: 1 mL with each dose.
Correct Answer is ["1"]
Explanation
To solve this problem, we first need to convert the client’s weight from pounds to kilograms. Then, we can calculate the total amount of amikacin needed. Finally, we can find out how many milliliters of amikacin injection the nurse should administer.
- Convert the client’s weight to kilograms: Given that 1 kg = 2.2 lbs, we can calculate the client’s weight in kilograms as follows:
Weightinkg=WeightinlbsConversionfactor=110lbs2.2lbs/kg≈50kgWeightinkg=ConversionfactorWeightinlbs=2.2lbs/kg110lbs≈50kg
- Calculate the total amount of amikacin needed: The doctor ordered 5 mg of amikacin per kg of body weight, so the total amount of amikacin needed is:
Totalamikacin=Doseperkg×Weightinkg=5mg/kg×50kg=250mgTotalamikacin=Doseperkg×Weightinkg=5mg/kg×50kg=250mg
- Find out how many milliliters of amikacin injection the nurse should administer: Given that the available amikacin injection is 250 mg/mL, we can calculate the volume of injection needed as follows:
Volumeofinjection=TotalamikacinConcentrationofinjection=250mg250mg/mL=1mLVolumeofinjection=ConcentrationofinjectionTotalamikacin=250mg/mL250mg=1mL
So, the nurse should administer 1 mL of amikacin injection.
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