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

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

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

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

"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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Correct Answer is C

Explanation

A) Serum creatinine is an important marker of renal function, but specific gravity is more directly related to urine concentration and kidney function.

B) Troponin levels are primarily associated with cardiac function, not renal function.

C) Assessing specific gravity helps evaluate the kidney's ability to concentrate urine and is a valuable indicator of renal function.

D) Sodium levels can be important in assessing electrolyte balance but are not the primary indicator of renal function.

A. "Take the digoxin at bedtime." B. "Eat a diet high in bran, fiber, and calcium." C. "You must be able to check your pulse." D. "Don't take digoxin if your heart rate exceeds 90 beats per minute."

Correct Answer is C

Explanation

a) Taking digoxin at bedtime is not a critical instruction. The important aspect is to take it consistently at the same time each day.

b) A diet high in bran, fiber, and calcium is not specifically related to digoxin administration. Digoxin has specific dietary considerations related to potassium levels.

c) Checking the pulse is crucial for a client taking digoxin, as it helps monitor for potential toxicity. Digoxin can cause bradycardia, and the pulse rate is an essential parameter to assess before administering each dose.

d) While monitoring the heart rate is important, setting a specific threshold (e.g., not taking digoxin if the heart rate exceeds 90 beats per minute) is not a standard recommendation. It's generally more nuanced and individualized.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is concerned about renal function in an 84-year-old client who is taking several medications. What is a priority for the nurse to assess?

Correct Answer is C

Explanation

What should the nurse include in a client's discharge teaching when going home with a prescription for digoxin 0.125 mg by mouth once daily?

Correct Answer is C

Explanation

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