A nurse is assisting with the care of a client who is 24 hr postoperative following a cesarean birth. Which of the following prescriptions should the nurse clarify with the charge nurse?
Ketorolac 10mg PO every 6hr PRN pain
Ciprofloxacin 1000mg daily
0.45 % sodium chloride 1000mL-125mL/hr by continuous IV infusion
Magnesium hydroxide 60mL PO at bedtime
The Correct Answer is D
A) Ketorolac 10mg PO every 6hr PRN pain: Ketorolac is a nonsteroidal anti-inflammatory drug (NSAID) that is commonly used for pain management after cesarean birth. However, it should not be used for more than 5 days due to potential renal side effects, gastrointestinal bleeding, and ulceration risks. A prescription for this drug 10mg every 6 hours could be appropriate if within the 5-day limit.
B) Ciprofloxacin 1000mg daily: Ciprofloxacin is an antibiotic often prescribed for certain infections. In a postoperative client, it might be prescribed for a urinary tract infection or another bacterial infection. The dose of 1000mg daily is within normal therapeutic ranges for many conditions, and there is no immediate reason to clarify it in the context of routine postoperative care.
C) 0.45% sodium chloride 1000mL-125mL/hr by continuous IV infusion: This IV fluid prescription specifies a normal saline solution at a moderate infusion rate of 125mL/hr, which is generally appropriate for postoperative fluid management. The administration of fluids is essential to prevent dehydration, maintain hydration, and promote healing in the postoperative period.
D) Magnesium hydroxide 60mL PO at bedtime: Magnesium hydroxide is commonly used as a laxative or antacid, but giving 60mL at bedtime raises a concern. Magnesium hydroxide has a significant laxative effect and can lead to dehydration, electrolyte imbalances, and excessive bowel movement. It is contraindicated in clients with impaired renal function, which is often a concern postoperatively, particularly in clients who may not be eating or drinking adequately. Additionally, in the immediate postoperative period following a cesarean, using a laxative in such a high dose could exacerbate the risk of discomfort, bloating, or diarrhea, and may not be necessary unless there is a specific indication for it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.3"]
Explanation
Given:
Desired dose of procaine penicillin: 800,000 units
Concentration of procaine penicillin suspension: 600,000 units/mL
Step 1: Set up the proportion:
Desired dose (units) / Volume to administer (mL) = Concentration (units/mL)
Step 2: Substitute the values:
800,000 units / Volume = 600,000 units/mL
Step 3: Solve for the unknown volume:
Volume = 800,000 units / 600,000 units/mL
Step 4: Calculate the volume:
Volume = 1.333333333 mL
Step 5: Round to the nearest tenth:
Volume ≈ 1.3 mL
Correct Answer is ["2"]
Explanation
Given:
Desired dose of oxycodone: 10 mg
Concentration of oxycodone tablets: 5 mg/tablet
Step 1: Calculate the number of tablets:
Number of tablets = Desired dose (mg) / Concentration per tablet (mg/tablet)
Number of tablets = 10 mg / 5 mg/tablet
Number of tablets = 2 tablets
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.