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

Answer and Explanation

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.

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Correct Answer is ["4"]

Explanation

To give the patient the prescribed dose of ziprasidone hydrochloride (Geodon), you need to calculate the number of tablets required.

One tablet contains 20 mg of the drug, so you need to divide the ordered dose by the tablet strength.

80 mg / 20 mg = 4 tablets.

Therefore, you would administer four tablets of ziprasidone hydrochloride (Geodon) to the patient.

A. The importance of consuming adequate amounts of water B. The need to monitor for systemic side effects C. The onset of action of 30-60 minutes after administration D. The need to use the dry form of psyllium to prevent cramping

Correct Answer is A

Explanation

A. The importance of consuming adequate amounts of water

When instructing a patient who will take psyllium (Metamucil) to treat constipation, it is crucial to emphasize the importance of consuming adequate amounts of water. Psyllium is a bulk-forming laxative that works by absorbing water in the intestines, forming a gel-like mass that helps soften stools and promote bowel movements. Without sufficient water intake, psyllium may cause an obstruction or worsen constipation.

B. The need to monitor for systemic side effects.

Psyllium is generally well-tolerated and is not associated with significant systemic side effects. The primary consideration is ensuring proper hydration.

C. The onset of action of 30-60 minutes after administration.

Psyllium is not a fast-acting laxative. It usually takes a longer time to produce its effects, and patients should not expect an immediate response within 30-60 minutes.

D. The need to use the dry form of psyllium to prevent cramping.

Using the dry form of psyllium is not recommended, as it may increase the risk of choking or swallowing difficulties. It is typically recommended to mix psyllium with a sufficient amount of water or other liquids to prevent cramping and ensure proper absorption.

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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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The physician writes an order for ziprasidone hydrochloride (Geodon) 80 mg. Each tablet contains 20 mg. How many tablets would you administer?

Correct Answer is ["4"]

Explanation

The nurse is instructing a patient who will take psyllium (Metamucil) to treat constipation. What information will the nurse include when teaching the patient?

Correct Answer is A

Explanation

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