The nurse is caring for a client who has just had a 5% dextrose IV line initiated and is reporting moderate to severe pain and a low-grade fever following a minor procedure. The nurse reviews the provider’s anticipated orders.
Which medications should the nurse anticipate the healthcare provider will order? Select all that apply.
Acetaminophen
Morphine
Aspirin
Albuterol
Racemic epinephrine
Correct Answer : A,B,C
Choice A rationale
Acetaminophen is a common medication that can be administered for pain relief and fever reduction. It is often used in a variety of clinical settings, including after the placement of an IV line.
Choice B rationale
Morphine is a strong opioid medication used to treat severe pain. It may be ordered after the placement of an IV line, especially if the patient is experiencing significant discomfort.
Choice C rationale
Aspirin is a medication that can be used for pain relief, fever reduction, and as an antiinflammatory. It may be ordered in a variety of clinical scenarios, including after the placement of an IV line.
Choice D rationale
Albuterol is a bronchodilator used to treat or prevent bronchospasm in people with reversible obstructive airway disease. It is not typically administered following the placement of a 5% dextrose intravenous line unless the patient has a pre-existing respiratory condition.
Choice E rationale
Racemic epinephrine is used to treat croup and asthma attacks. It is not typically administered following the placement of a 5% dextrose intravenous line unless the patient has a pre-existing respiratory condition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While assessing parenting skills is important in general, in this specific situation, the parent has expressed a fear of needles which is preventing them from being able to administer the insulin injections. Therefore, assessing parenting skills would not directly address the issue at hand.
Choice B rationale
If the child is capable and comfortable with administering their own insulin injections, this could be a viable solution to the problem. It is not uncommon for children, especially those who are older or more mature, to take over the administration of their own insulin injections. Choice C rationale
Encouraging the parent to handle the needles may be helpful, but if the parent has a strong fear of needles, this may not be a feasible solution. It’s important to respect the parent’s fear and find alternative solutions.
Choice D rationale
Asking if there is someone else who can help with the injections could potentially be a solution, but it would depend on the family’s situation and whether there is another person who is willing and able to help.
Correct Answer is B
Explanation
Choice A rationale
While assessing the station of the presenting part is important during labor, it is not the most crucial assessment following the administration of epidural anesthesia.
Choice B rationale
Monitoring maternal blood pressure is the most important assessment following the administration of epidural anesthesia. Epidural anesthesia can cause a drop in blood pressure, which can lead to complications for both the mother and the baby.
Choice C rationale
Although assessing the variability of the fetal heart rate is important during labor, it is not the most crucial assessment following the administration of epidural anesthesia.
Choice D rationale
While assessing the level of pain sensation is important to evaluate the effectiveness of the epidural anesthesia, it is not the most crucial assessment following its administration.
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