A nurse is caring for a 78-year-old male client admitted to the Surgical unit after having a total right knee replacement.
The nurse reviews the client's nursing note, vital signs, and medication administration record (MAR). Based on the findings, which medication is appropriate for the client?
Complete the following sentence by using the lists of options regarding the post-operative client:
The nurse should understand that
The Correct Answer is {"dropdown-group-1":"B"}
The correct answer is Choice B. Choice A rationale: Ondansetron (Zofran) is an antiemetic used to prevent nausea and vomiting. The client denies nausea and vomiting, so this medication is not necessary at this time.
Choice B rationale: Acetaminophen (Tylenol) is appropriate for managing mild pain, which the client reports as 2 out of 10 on the pain scale. This medication effectively alleviates mild pain without significant side effects, making it suitable for the client’s current condition.
Choice C rationale: Hydrocodone/Acetaminophen (Norco) is a combination of an opioid and acetaminophen used for moderate to severe pain. Since the client reports only mild pain (2 out of 10), this stronger medication is not warranted and could cause unnecessary side effects.
Choice D rationale: Melatonin is used to help with sleep. The client does not report any issues with sleep, so administering this medication is not relevant to the current situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Furosemide is a loop diuretic that acts on the ascending limb of the loop of Henle, not the distal tubule.
Choice B rationale
Spironolactone is a potassium-sparing diuretic that works on the collecting ducts and late distal tubules, not the distal tubule.
Choice C rationale
Mannitol is an osmotic diuretic that acts on the proximal tubule and the descending limb of the loop of Henle, not the distal tubule.
Choice D rationale
Hydrochlorothiazide is a thiazide diuretic that works on the distal convoluted tubule, making it the correct answer.
Correct Answer is A
Explanation
Choice A rationale
Brand name medications are typically more expensive because they include costs for research, development, marketing, and patents. They are sold under a trademarked brand name by a specific company, which allows them to charge higher prices.
Choice B rationale
This is incorrect as brand name medications are not less effective than generic medications. Both are required to have the same active ingredients and efficacy by regulatory agencies.
Choice C rationale
While the active ingredients must be the same, the formulation (inactive ingredients) of brand and generic medications can differ, which may affect the drug's characteristics, such as absorption rate.
Choice D rationale
Brand name drugs are usually less prescribed than generics because generics are cheaper and preferred for cost-saving measures. However, in some cases, a brand name might be more widely recognized and prescribed initially.
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