Before administering intravenous ketorolac (NSAID), it is essential that the nurse check the client's (select all that apply)
Renal function
Apical pulse
Serum potassium
Risk for bleeding
Pregnancy status
Correct Answer : A,D,E
Choice A rationale: NSAIDs, including ketorolac, can affect renal function and may require dose adjustment in patients with impaired renal function.
Choice B rationale: Apical pulse is not typically assessed before administering ketorolac.
Choice C rationale: Serum potassium is not directly affected by ketorolac.
Choice D rationale: Ketorolac is associated with an increased risk of bleeding, so assessing the patient's bleeding risk is important.
Choice E rationale: Ketorolac is contraindicated in pregnant women, especially in the third trimester, due to the risk of premature closure of the ductus arteriosus in the fetus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Dry mouth is a known side effect of clonidine, and denying this information would be inaccurate.
Choice B rationale: Providing strategies to alleviate the side effect, such as offering hard candy or gum, is a proactive approach to managing the dry mouth without discontinuing the medication.
Choice C rationale: Stopping antihypertensive medication abruptly can lead to rebound hypertension, and the nurse should not encourage discontinuation without consulting the healthcare provider.
Choice D rationale: Adjusting the dose of clonidine should be done under the guidance of a healthcare provider; self-adjustment without professional input is not advisable.
Correct Answer is A
Explanation
Choice A rationale: Respiratory depression can occur and persist for hours after the removal of a fentanyl patch. It is crucial to monitor respiratory status closely and be aware of the potential delayed onset of respiratory depression.
Choice B rationale: Fentanyl, like any opioid, carries risks, and safety precautions should be observed. However, it is not completely without risks, especially in certain populations or situations.
Choice C rationale: Using a heating pad with a fentanyl patch is not recommended, as it can increase drug absorption and the risk of overdose.
Choice D rationale: Fentanyl patches have a delayed onset of action, and the patient will not experience immediate pain relief. It may take several hours for the full effect to be achieved after the application of the patch.
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