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 B

Explanation

A. The patient's understanding of the medication:

While it's important for the patient to understand their medication, assessing their understanding is typically done through patient education and counseling. This assessment is vital for promoting adherence and safe medication practices but is not the primary consideration immediately before administration.

B. The patient's ability to swallow:

This is the correct answer. Assessing the patient's ability to swallow is crucial before administering oral medications to ensure that the patient can safely and effectively take the prescribed medication without the risk of aspiration or choking.

C. The patient's allergies:

Assessing the patient's allergies is an essential step in medication administration, but it is generally part of the overall medication safety process. It may not be the primary assessment immediately before administering an oral medication, but it is a crucial consideration.

D. The eyesight:

The patient's eyesight is not typically a primary assessment before administering oral medications. While visual impairments can affect a patient's ability to read medication labels or instructions, it is not the immediate concern when assessing readiness for oral medication administration.

A. "I will avoid foods high in fat." B. "I will eat small frequent meals and have a snack at bedtime." C. "Orange juice may aggravate my symptoms." D. "I will wait 2 hours after eating lunch before lying down for a nap."

Correct Answer is ["A","B","C","D"]

Explanation

A. "I will avoid foods high in fat." - This is a correct statement. High-fat foods can contribute to the symptoms of GERD.

B. "I will eat small frequent meals and have a snack at bedtime." - This is a correct statement. Eating smaller, more frequent meals and avoiding large meals before bedtime can help manage GERD symptoms.

C. "Orange juice may aggravate my symptoms." - This is a correct statement. Citrus juices, including orange juice, are acidic and can worsen GERD symptoms.

D. "I will wait 2 hours after eating lunch before lying down for a nap." - This is a correct statement. Waiting a few hours after eating before lying down can help prevent stomach contents from refluxing into the esophagus.

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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 prescribes an oral medication for the patient. What is the primary nursing assessment of the patient prior to receiving this medication?

Correct Answer is B

Explanation

The nurse is instructing a patient recently diagnosed with GERD. Which statement by the patient indicates a need for further teaching?

Correct Answer is ["A","B","C","D"]

Explanation

Calculate the infusion time for an IV of 1,500 mL running at 25 gtt/min. if the drop factor is 15 gtt/mL.

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

The physician writes an order for Atacand 16 mg. Each tablet contains 8 mg. How many tablets would you administer?

The prescriber has written admission orders, and the nurse is transcribing them. The nurse is having difficulty transcribing one order because of the prescriber's handwriting. Which is the best action for the nurse to take at this time?

The client drinks one container of milk (1 cup), one container of juice (4 oz.), and a 6 oz. bowl of juice. Record the client's intake in mL.

The nurse is caring for an older adult who is receiving diphenoxylate with atropine to treat severe diarrhea. The nurse will monitor this patient closely for which effect?

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