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A client who is recovering from total knee surgery is preparing for discharge. Which of these statements indicates the client needs further teaching?

A.

"I can rotate acetaminophen with ibuprofen if needed for pain control, so I don't take too much of either one."

B.

"If I still have pain 10 minutes after taking 1000 mg of acetaminophen, I should take two of oxycodone-acetaminophen."

C.

"Taking more than 4000 mg of acetaminophen in a day can cause liver problems."

D.

"Taking acetaminophen often could mask any infection-related fevers I might have."

Answer and Explanation

The Correct Answer is D

a) The statement about rotating acetaminophen with ibuprofen for pain control demonstrates an  understanding of the principles of multimodal pain management and is appropriate.

b) The statement about taking two oxycodone-acetaminophen tablets if pain persists after a  certain time frame is appropriate and reflects awareness of appropriate pain management  strategies. 

c) The statement about the maximum daily dose of acetaminophen and its potential to cause liver  problems is accurate and indicates good knowledge. 

d) The statement about acetaminophen masking infection-related fevers is incorrect. While  acetaminophen can reduce fever, it does not mask the presence of an infection. This statement  indicates a need for further teaching. 


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Related Questions

Correct Answer is C

Explanation

a) Intravenous trimethoprim/sulfamethoxazole may still induce an adverse reaction, and withholding the oral medication is the more prudent initial action.

b) Administering the dose may worsen the client's condition, and addressing the symptoms requires notifying the provider first.

c) Withholding the treatment and promptly notifying the provider about the observed symptoms is the correct immediate response to potential adverse reactions.

d) Initiating probiotics and tapering off the medication may be considerations, but the urgent action is to withhold the medication and inform the provider.

Correct Answer is C

Explanation

a) Requesting central venous access is not the first-line response to signs of redness, pain, and irritation at the current infusion site. It's essential to address the immediate issue first.

b) Continuing the infusion while elevating the arm may exacerbate the symptoms and is not an appropriate action when there are signs of localized irritation.

c) Stopping the infusion and selecting an alternate intravenous site is the correct action to prevent further complications and assess the cause of the irritation.

d) Applying warm packs and infusing the medication at a slower rate may not be sufficient to address the observed redness and pain, and an alternate site should be considered.

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