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: Administering a small test dose is not typically required before giving an antibiotic unless there is a known history of severe allergies. It is more important to identify the causative organism to ensure the appropriate antibiotic is used.
Choice B rationale: Having epinephrine available is a safety measure for potential severe allergic reactions, but it is not the most immediate priority. Ensuring the antibiotic is appropriate for the infection is crucial.
Choice C rationale: Monitoring the client's temperature and blood pressure is important, but it is not the most immediate priority before administering the antibiotic. These parameters should be monitored throughout treatment.
Choice D rationale: Obtaining a urine specimen for culture and sensitivity is the most important action before administering the antibiotic. This ensures that the correct antibiotic is prescribed based on the specific bacteria causing the infection. It helps prevent the use of ineffective antibiotics and reduces the risk of antibiotic resistance.
Correct Answer is D
Explanation
Choice A rationale
Tumor enhancer genes are not typically a recognized category in cancer genetics. Proto-oncogenes and DNA repair genes are relevant to cancer development.
Choice B rationale
This choice is incorrect as there are genes like proto-oncogenes, tumor suppressor genes, and DNA repair genes that play roles in cancer.
Choice C rationale
This choice is partially correct but incomplete without including DNA repair genes, which are also crucial in cancer prevention.
Choice D rationale
This choice is correct as proto-oncogenes can become oncogenes, tumor suppressor genes prevent uncontrolled cell growth, and DNA repair genes fix DNA mutations that can lead to cancer.
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