A nurse is reinforcing teaching for a client who has been receiving a PCA pump following a hysterectomy. Which of the following medications should the nurse anticipate the provider to prescribe?
Librium
Disulfiram
Phenobarbital
Clonidine
The Correct Answer is D
A. Librium: Librium (chlordiazepoxide) is a benzodiazepine used primarily for anxiety and alcohol withdrawal management. It is not typically prescribed for pain control after surgery and would not be expected in a client using a PCA pump.
B. Disulfiram: Disulfiram is used to deter alcohol consumption by causing unpleasant effects when alcohol is ingested. It has no role in pain management and would not be associated with postoperative care or PCA use.
C. Phenobarbital: Phenobarbital is a barbiturate used to control seizures and sometimes for sedation. It is not prescribed for pain relief and would not be expected for a client recovering from a hysterectomy with a PCA pump.
D. Clonidine: Clonidine can be used as an adjunct to pain management, particularly to enhance the effects of opioids and reduce the amount needed. It can help manage withdrawal symptoms and pain, making it a medication the provider might prescribe alongside a PCA pump.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Decreased bowel sounds: Decreased bowel sounds are often associated with conditions like ileus, abdominal surgery, or bowel obstruction, rather than directly indicating fluid volume excess. Fluid overload typically affects the cardiovascular and respiratory systems first.
B. Urine output of 360 mL/12 hr: While this is a low urine output and could suggest dehydration or renal impairment, it is more indicative of fluid volume deficit rather than fluid volume excess. Excess fluid volume would generally be associated with adequate or increased urine output if renal function is normal.
C. Blood pressure of 100/74 mm Hg: This blood pressure reading is within normal limits for many adults and does not specifically suggest fluid overload. In cases of fluid volume excess, a client might actually exhibit elevated blood pressure due to increased circulatory volume.
D. Distended neck veins: Distended neck veins, also known as jugular venous distention, are a classic sign of fluid volume excess. They occur because increased intravascular volume causes elevated venous pressure, which becomes visible in the neck veins when the client is positioned at a 30- to 45-degree angle.
Correct Answer is B
Explanation
A. Allergy to penicillins: Penicillin allergies are important when prescribing beta-lactam antibiotics like amoxicillin, but azithromycin is not a penicillin; it belongs to the macrolide class, so this allergy is not directly relevant.
B. Allergy to macrolides: Azithromycin is a macrolide antibiotic. An allergy to macrolides must be reported immediately because administering azithromycin could trigger an allergic reaction, which could be serious or life-threatening.
C. Allergy to sulfonamides: Sulfonamide allergies are relevant when prescribing medications like sulfamethoxazole-trimethoprim, but azithromycin does not belong to the sulfonamide class.
D. Allergy to tetracyclines: Tetracyclines are a different class of antibiotics, used for infections such as acne or certain respiratory infections. An allergy to tetracyclines is not a concern when administering azithromycin.
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