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

A. Give the child fluids and proceed to the emergency department.
While giving the child fluids is generally important, proceeding to the emergency department without consulting poison control may not be the most appropriate initial action. Poison control can provide specific guidance based on the substance ingested.

B. Call the poison control center and follow directions.
The safest advice for a toddler who has ingested a small amount of household cleaning fluid is to call the poison control center and follow their directions. Poison control centers are staffed with professionals who can provide specific guidance based on the type and amount of the ingested substance. They can advise on the appropriate steps to take, such as whether immediate medical attention is needed or if monitoring at home is sufficient.

C. Administer syrup of ipecac and monitor for vomiting.
The use of syrup of ipecac is no longer recommended as a routine measure for ingested substances. It can have adverse effects and may not be effective for all substances. Consulting poison control for guidance is considered a more appropriate approach.

D. Have the toddler eat bread to absorb the substance.
The ingestion of certain substances may not be effectively addressed by having the toddler eat bread. The specific advice for management should come from poison control, which can provide evidence-based guidance.

A. As requested by the patient.

Administering the drug only when requested by the patient may not provide adequate prophylaxis against chemotherapy-induced nausea and vomiting. These medications are often prescribed on a schedule to prevent symptoms rather than treating them reactively.

B. 1 hour after chemotherapy administration.

Waiting until 1 hour after chemotherapy administration may not cover the full period during which nausea and vomiting are likely to occur. The administration schedule for antiemetics is often more extended to provide better coverage.

C. The night before the treatment, the day of the treatment, and for 24 hours after the treatment.

This is the correct choice. Administering phenothiazine antiemetics according to this schedule helps ensure continuous coverage during the critical period when chemotherapy-induced nausea and vomiting are most likely to occur.

D. The day of treatment.

Administering the drug only on the day of treatment may not provide sufficient coverage for the entire duration when chemotherapy-induced nausea and vomiting can occur. Again, the schedule mentioned in option C is more comprehensive for prevention.