A nurse is teaching a client who has cancer pain about the use of oral oxycodone with acetaminophen (Percocet).

Which statement by the client indicates a need for further teaching?

“I should drink plenty of fluids and eat high-fiber foods to prevent constipation.”

“I should avoid driving or operating heavy machinery while taking this medication.”

“I should take this medication only when I have severe pain that does not respond to other drugs.”

“I should report any signs of an allergic reaction, such as rash, itching, or difficulty breathing.”.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. The client should take this medication regularly as prescribed to maintain a steady level of analgesia and prevent breakthrough pain.

Taking the medication only when the pain is severe can lead to inadequate pain relief and increased side effects.

Choice A is wrong because drinking plenty of fluids and eating high-fiber foods can help prevent constipation, which is a common adverse effect of opioids.

Choice B is wrong because avoiding driving or operating heavy machinery is a safety precaution for clients taking opioids, as they can cause drowsiness and impaired judgment.

Choice D is wrong because reporting any signs of allergic reaction is an important instruction for clients taking any medication, especially opioids, which can cause severe hypersensitivity reactions.

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Correct Answer is ["A","B","C"]

Explanation

The correct answer is choice A, B, and C. These are all liver enzymes that can indicate hepatotoxicity (liver damage) from acetaminophen overdose.

The normal ranges for these enzymes are:

• AST: 10 to 40 U/L

• ALT: 7 to 56 U/L

• ALP: 45 to 115 U/L

Choice D and E are wrong because they are indicators of renal function, not liver function.

The normal ranges for these values are:

• BUN: 7 to 20 mg/dL

• Creatinine: 0.6 to 1.2 mg/dL

A. Take ibuprofen with food or milk. B. Avoid alcohol while taking ibuprofen. C. Take ibuprofen on an empty stomach. D. Report any signs of gastrointestinal bleeding to the healthcare provider. E. Take ibuprofen with antacids.

Correct Answer is ["A","B","D"]

Explanation

The correct answer is choiceA,B , andD.

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastric irritation and bleeding.Therefore, the nurse should instruct the client to take ibuprofen with food or milk to reduce the risk of stomach ulcers.The nurse should also advise the client to avoid alcohol while taking ibuprofen, as alcohol can increase the risk of gastrointestinal bleeding and liver damage.Additionally, the nurse should tell the client to report any signs of gastrointestinal bleeding, such as black or tarry stools, abdominal pain, or vomiting blood, to the healthcare provider immediately.

ChoiceCis wrong because taking ibuprofen on an empty stomach can increase the risk of gastric irritation and bleeding.

ChoiceEis wrong because taking ibuprofen with antacids can reduce the effectiveness of ibuprofen and interfere with its absorption.Antacids can also cause adverse effects such as diarrhea, constipation, or electrolyte imbalance.

Therefore, the nurse should not recommend taking ibuprofen with antacids.

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A nurse is teaching a client who has cancer pain about the use of oral oxycodone with acetaminophen (Percocet). Which statement by the client indicates a need for further teaching?

Nursing Test Bank

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A nurse is reviewing laboratory results for a client who takes acetaminophen for osteoarthritis pain management.Which of the following findings should alert the nurse to possible hepatotoxicity? (Select all that apply.).

Correct Answer is ["A","B","C"]

Explanation

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A nurse is teaching a client who has cancer pain about the use of oral oxycodone with acetaminophen (Percocet).

Which statement by the client indicates a need for further teaching?