The client has fallen off his mountain bike and sustained multiple abrasions to both of his knees. Which would be appropriate medication(s) for pain management for this client? (Select All That Apply)

A. Bradycardia

Bradycardia is not a common side effect of diphenoxylate with atropine. Atropine, which is included in the combination, has anticholinergic effects that can lead to an increased heart rate (tachycardia), not bradycardia.

B. Fluid retention

Fluid retention is not a common side effect of diphenoxylate with atropine. In fact, the medication is used to treat severe diarrhea, and the goal is to decrease fluid loss associated with diarrhea rather than causing fluid retention.

C. Nervousness and tremors

Nervousness and tremors are not common side effects of diphenoxylate with atropine. Atropine's anticholinergic effects may cause nervousness, but these effects are generally not prominent at therapeutic doses.

D. Respiratory depression

This is the correct choice. Respiratory depression is a potential side effect of diphenoxylate with atropine, particularly if the medication is misused or taken in excessive amounts. Atropine is included in the combination to discourage misuse, as it can cause unpleasant anticholinergic effects.

A. Ask a colleague what the order says:

This option involves seeking assistance from a colleague to interpret the illegible handwriting. While collaboration among healthcare professionals is important, relying on a colleague to interpret unclear handwriting may introduce the risk of miscommunication or misinterpretation.

B. Contact the prescriber to clarify the order:

This is the recommended and safest option. Contacting the prescriber directly to seek clarification ensures accurate information and reduces the risk of misinterpretation or errors related to illegible handwriting.

C. Wait until the prescriber makes rounds again to clarify the order:

This option involves delaying clarification until the prescriber is available during rounds. Waiting may not be ideal if the patient requires prompt intervention or if there is an urgency in administering the medication. Timely communication is crucial for patient safety.

D. Ask the patient what medications he takes at home:

This option is unrelated to the issue of illegible handwriting on the prescription. While obtaining a patient's medication history is important for comprehensive care, it does not address the immediate need to clarify the unclear order.