1). You are working on the post anesthesia care unit and caring for a client 1 hour after bowel surgery. They rate their pain a 7 on a scale of one to ten at the incision site. The pain is described as a sharp, aching sensation. Your client has not eaten any food yet, and is slightly nauseated. She is currently on 2 liters of oxygen via nasal cannula and is saturating at 95%. You review the healthcare provider’s orders and find the following: Hydrocodone/Acetaminophen 5/325 PO every 4-6 hours PRN 2-5 mg Morphine sulfate IV every 1-2 hours PRN Acetaminophen 1,000 gram IV every 6 hours PRN Valium 5-10 mg IV every 2 6 hours PRN a. Which medication is the best selection? b. In regards to the analgesic, what is your priority to assess? c. If you administered the medication at 09:05, at what time should you reassess the patient’s pain level? B). You reassess your client and find them difficult to arouse, pupils are pinpoint and non-reactive, and their oxygen saturation is 79% on the 2 liters nasal cannula. d. What medication to do you anticipate administering next? 2). You are caring for a client who has been prescribed Hydrocodone/Acetaminophen 5/325 for post-surgical pain. Your client is going to be discharged later today and needs medication education regarding this new medication. a). What dietary recommendations should be encouraged to prevent adverse effects from this medication? (Use complete sentences and give specific examples). B). Since the medication contains acetaminophen, what educational points should you include for him? (Use complete sentences and give specific examples). 3).Which patient would be at the highest risk of developing a GI ulcer from NSAID therapy? a. A patient who takes aspirin 81 mg in an extended release form daily b. A patient who is prescribed indomethacin 50 mg PO daily for 5 days c. A patient who has been taking 200 mg of ibuprofen 4 times a day for the past 4 months d. A patient who is receiving IV ketorolac 15 mg every 6 hours for the past 24 hours Why did you select your answer? 4).A client has been prescribed aspirin EC (enteric coated) 81 mg daily for cardio protective effects. They report they frequently watch their grandchildren, aged 2 months to 15 years old. Which of the following is most important to consider in conducting medication education for this client? a. Take this medication with food b. Keep this medication in a secure location c. Avoid combining this medication with acetaminophen d. Increase the amount of fluid you drink Why did you select your answer?
1). You are working on the post anesthesia care unit and caring for a client 1 hour after bowel surgery. They rate their pain a 7 on a scale of one to
ten at the incision site. The pain is described as a sharp, aching sensation. Your client has not eaten any food yet, and is slightly nauseated. She is
currently on 2 liters of oxygen via nasal cannula and is saturating at 95%. You review the healthcare provider’s orders and find the following:
Hydrocodone/Acetaminophen 5/325 PO every 4-6 hours PRN
2-5 mg Morphine sulfate IV every 1-2 hours PRN
Acetaminophen 1,000 gram IV every 6 hours PRN
Valium 5-10 mg IV every 2 6 hours PRN
a. Which medication is the best selection?
b. In regards to the analgesic, what is your priority to assess?
c. If you administered the medication at 09:05, at what time should you reassess the patient’s pain level?
B). You reassess your client and find them difficult to arouse, pupils are pinpoint and non-reactive, and their oxygen saturation is 79% on the 2 liters nasal
cannula.
d. What medication to do you anticipate administering next?
2). You are caring for a client who has been prescribed Hydrocodone/Acetaminophen 5/325 for post-surgical pain. Your client is going to be
discharged later today and needs medication education regarding this new medication.
a). What dietary recommendations should be encouraged to prevent adverse effects from this medication? (Use complete sentences and give
specific examples).
B). Since the medication contains acetaminophen, what educational points should you include for him? (Use complete sentences and give specific
examples).
3).Which patient would be at the highest risk of developing a GI ulcer from NSAID therapy?
a. A patient who takes aspirin 81 mg in an extended release form daily
b. A patient who is prescribed indomethacin 50 mg PO daily for 5 days
c. A patient who has been taking 200 mg of ibuprofen 4 times a day for the past 4 months
d. A patient who is receiving IV ketorolac 15 mg every 6 hours for the past 24 hours
Why did you select your answer?
4).A client has been prescribed aspirin EC (enteric coated) 81 mg daily for cardio protective effects. They report they frequently watch their grandchildren,
aged 2 months to 15 years old. Which of the following is most important to consider in conducting medication education for this client?
a. Take this medication with food
b. Keep this medication in a secure location
c. Avoid combining this medication with acetaminophen
d. Increase the amount of fluid you drink
Why did you select your answer?
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B). You reassess your client and find them difficult to arouse, pupils are pinpoint and non-reactive, and their oxygen saturation is 79% on the 2 liters of nasal
cannula.
d. What medication do you anticipate administering next?
2). You are caring for a client who has been prescribed Hydrocodone/Acetaminophen 5/325 for post-surgical pain. Your client is going to be discharged later today and needs medication education regarding this new medication.
a). What dietary recommendations should be encouraged to prevent adverse effects from this medication? (Use complete sentences and give
specific examples).
B). Since the medication contains acetaminophen, what educational points should you include for him? (Use complete sentences and give specific
examples).
3).Which patient would be at the highest risk of developing a GI ulcer from NSAID therapy?
a. A patient who takes aspirin 81 mg in an extended release form daily
b. A patient who is prescribed indomethacin 50 mg PO daily for 5 days
c. A patient who has been taking 200 mg of ibuprofen 4 times a day for the past 4 months
d. A patient who is receiving IV ketorolac 15 mg every 6 hours for the past 24 hours
Why did you select your answer?
4).A client has been prescribed aspirin EC (enteric coated) 81 mg daily for cardio protective effects. They report they frequently watch their grandchildren,
aged 2 months to 15 years old.
Which of the following is most important to consider in conducting medication education for this client?
a. Take this medication with food
b. Keep this medication in a secure location
c. Avoid combining this medication with acetaminophen
d. Increase the amount of fluid you drink
Why did you select your answer?
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