A nurse is caring for a client who reports a headache and has a history of a peptic ulcer. Which of the following medications should the nurse administer?

Ketorolac

Acetaminophen

Aspirin

Ibuprofen

Answer and Explanation

The Correct Answer is B

Choice A reason:

Ketorolac is incorrect because it is an NSAID that is used for short-term pain relief. It has a higher risk of causing irritation to the stomach lining and is not recommended for clients with a history of peptic ulcers.

Choice B reason:

Acetaminophen is the correct answer. When caring for a client who reports a headache and has a history of a peptic ulcer, the nurse should administer Acetaminophen. Acetaminophen is an analgesic (pain reliever) and antipyretic (fever reducer) that does not have anti-inflammatory properties. It is a suitable option for pain relief in clients with a history of peptic ulcers because it is less likely to cause irritation to the stomach lining compared to nonsteroidal anti-inflammatory drugs (NSAIDs).

Choice C reason

Aspirin is not appropriate: Aspirin is an NSAID with anti-inflammatory, analgesic, and antipyretic properties. Like other NSAIDs, it can increase the risk of stomach irritation and should be avoided in clients with a history of peptic ulcers.

Choice D reason:

Ibuprofen is not the right option: Ibuprofen is another NSAID commonly used for pain relief and reducing inflammation and fever. Like other NSAIDs, it can irritate the stomach lining and is not recommended for clients with a history of peptic ulcers.

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Correct Answer is C

Explanation

A. Unclamp the collection port below the bag. B. Obtain the specimen from the retention port. C. Disconnect the catheter from the collection tubing. D. Use the balloon port to obtain the sterile specimen.

Correct Answer is B

Explanation

Obtain the specimen from the retention port. This is because the retention port is a sterile site that can be accessed by a syringe to aspirate urine without contaminating the specimen or the closed drainage system. The retention port should be cleaned with an alcohol swab before inserting the syringe. The specimen should be transferred to a sterile container and labeled appropriately.

Choice A is wrong because unclamping the collection port below the bag would allow urine to flow out of the bag, which is not sterile and may contain bacteria or sediment. Choice C is wrong because disconnecting the catheter from the collection tubing would break the closed drainage system and increase the risk of infection. Choice D is wrong because using the balloon port to obtain the sterile specimen would deflate the balloon that holds the catheter in place and cause trauma to the bladder wall.

Normal ranges for urine characteristics vary depending on the type of analysis, but some general parameters are:

Color: pale yellow to amber
Clarity: clear or slightly cloudy
Odor: faint aromatic
pH: 4.5 to 8.0
Specific gravity: 1.005 to 1.030
Protein: <150 mg/24 hr
Glucose: negative
Ketones: negative
Blood: negative
Nitrites: negative
Leukocyte esterase: negative
Bacteria: <10,000 CFU/mL

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A nurse is caring for a client who reports a headache and has a history of a peptic ulcer. Which of the following medications should the nurse administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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