What information should the nurse include in a teaching plan for a patient who is being discharged home after knee surgery with a prescription for hydrocodone? Select All That Apply
Dietary restriction while taking hydrocodone
Instructions not to exceed recommended dosage
Instructions not to use alcohol or CNS depressants while taking hydrocodone
Instructions on how to prevent constipation
Side effects to report
Correct Answer : B,C,D,E
A. Dietary restriction while taking hydrocodone
There are no specific dietary restrictions associated with hydrocodone use. This option is not relevant to hydrocodone therapy.
B. Instructions not to exceed recommended dosage
It is crucial to emphasize to the patient not to exceed the recommended dosage of hydrocodone. Exceeding the prescribed dose can lead to adverse effects, including respiratory depression.
C. Instructions not to use alcohol or CNS depressants while taking hydrocodone
Hydrocodone is a central nervous system (CNS) depressant. Combining it with alcohol or other CNS depressants can increase the risk of respiratory depression and sedation. Patients should be advised to avoid alcohol and other drugs that depress the CNS.
D. Instructions on how to prevent constipation
Opioid medications, including hydrocodone, can cause constipation. Patients should receive instructions on how to prevent constipation, such as increasing fluid and fiber intake and incorporating regular physical activity.
E. Side effects to report
Patients should be educated about potential side effects of hydrocodone and instructed to report any unusual or severe side effects to their healthcare provider promptly. This may include symptoms such as respiratory distress, severe drowsiness, or allergic reactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
To calculate the dose of fluconazole for a child who weighs 44 pounds, you need to convert the weight to kilograms and the dose to milligrams.
One kilogram is equal to 2.2 pounds, so 44 pounds is 44 / 2.2 = 20 kilograms.
The dose of fluconazole is 5 mg/kg, so 5 mg x 20 kg = 100 mg.
The label on the bottle says that each tablet contains 50 mg of fluconazole, so you need to divide the dose by the tablet strength to get the number of tablets. 100 mg / 50 mg = 2 tablets.
Therefore, you should administer two tablets of fluconazole once a day for this child.
Correct Answer is A
Explanation
A. Avoid caffeine-containing beverages before sleep
The highest priority teaching point to help relieve sleeplessness would be to advise the client to avoid caffeine-containing beverages before sleep. Caffeine is a stimulant that can interfere with the ability to fall asleep and maintain a restful sleep.
B. Perform strenuous exercise before bedtime
Strenuous exercise close to bedtime can actually stimulate the body and make it more difficult for the individual to relax and fall asleep. It is generally recommended to engage in exercise earlier in the day.
C. Drink lots of fluids before bedtime
Drinking excessive fluids before bedtime may lead to disrupted sleep as it can increase the need to wake up for bathroom trips during the night. It's advisable to limit fluid intake close to bedtime.
D. Eat a heavy meal before bedtime
Consuming a heavy meal before bedtime can cause discomfort and indigestion, potentially disrupting sleep. It is recommended to have a light, easily digestible meal if eating close to bedtime.
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