A nurse is caring for a client who has a fractured leg and rates their pain as 7 on a scale of 0 to 10. Which of the following medications should the nurse expect to administer?
Fentanyl
Aspirin
Hydrocodone
Acetaminophen
The Correct Answer is C
Rationale:
A. Fentanyl: Fentanyl is a potent opioid typically reserved for severe, acute, or chronic pain such as in surgical or cancer-related conditions. It is not commonly used for moderate pain in stable orthopedic cases like a simple fracture.
B. Aspirin: Aspirin is a mild analgesic and anti-inflammatory. It may help with mild pain but is inadequate for moderate pain rated 7/10. Additionally, its antiplatelet effects can increase bleeding risk, especially post-trauma.
C. Hydrocodone: Hydrocodone is an opioid analgesic appropriate for managing moderate to severe pain, such as that caused by a fracture. It is commonly used in combination with acetaminophen and is suitable for a pain rating of 7/10.
D. Acetaminophen: Acetaminophen is effective for mild to moderate pain but may not provide sufficient relief for pain rated at 7/10. It is often used adjunctively but would not be the primary choice in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Offer the client saltine crackers between meals: Dry foods like saltine crackers can worsen the discomfort associated with xerostomia and may irritate oral mucosa. They are not recommended for managing dry mouth.
B. Instruct the client on the use of esophageal speech: Esophageal speech is a technique used after laryngectomy, not for managing xerostomia. It does not address the underlying issue of dry mouth caused by radiation therapy.
C. Provide humidification of the room air: Humidifying the room adds moisture to the environment, helping relieve dryness in the oral cavity and throat. This intervention is appropriate for managing xerostomia and improving comfort for clients post-radiation therapy.
D. Suggest rinsing his mouth with an alcohol-based mouthwash: Alcohol-based mouthwashes can further dry and irritate the oral mucosa, worsening xerostomia. Clients should be advised to use non-alcoholic, moisturizing rinses instead.
Correct Answer is D
Explanation
A. Monitor the client for hypertension: Epidural anesthesia commonly causes hypotension rather than hypertension due to sympathetic blockade and vasodilation. Continuous monitoring is essential, but the nurse focuses on identifying and managing hypotension.
B. Decrease the maintenance infusion rate of IV fluid: IV fluids are often administered before and during epidural placement to prevent hypotension. Reducing the infusion rate could worsen hypotension and compromise maternal and fetal perfusion.
C. Have protamine sulfate available at the bedside: Protamine sulfate is used to reverse heparin anticoagulation. It is not relevant to epidural administration and does not address the common risks associated with epidural anesthesia.
D. Reposition the client side-to-side each hour: Repositioning the client promotes maternal comfort, prevents pressure injury, and improves uteroplacental perfusion. Side-to-side positioning is recommended to avoid aortocaval compression and maintain adequate fetal oxygenation during labor.
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