A nurse is caring for a client who is 2 hr postoperative following orthopedic surgery and reports pain as 10 on a scale of 0 to 10. Which of the following prescriptions should the nurse expect to administer?
Oxycodone 10 mg PO
Fentanyl 12.5 mcg/hr transdermal
Acetaminophen 1,000 mg PO
Ketorolac 30 mg IV
The Correct Answer is D
A. Oxycodone 10 mg PO is an oral medication, which may not be appropriate in the immediate postoperative period when rapid pain relief is needed and the client may have limited oral intake.
B. Fentanyl 12.5 mcg/hr transdermal is not appropriate for acute pain; transdermal patches are used for chronic, stable pain as they take hours to reach therapeutic levels.
C. Acetaminophen 1,000 mg PO may provide mild pain relief but is insufficient for severe postoperative pain rated at 10/10.
D. Ketorolac 30 mg IV is an NSAID that provides effective and rapid pain relief in the immediate postoperative period and is appropriate for severe pain management in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The affected heel should not rest directly on the bed as it increases the risk for pressure injuries. A pillow or heel protector should be used to elevate the heel off the bed.
B. Internal and external rotation of the hip is contraindicated after a hip replacement, as it can lead to dislocation of the prosthesis.
C. Using an elevated toilet seat prevents excessive hip flexion (>90 degrees), which reduces the risk of hip dislocation after surgery.
D. The client should not be turned onto the operative side immediately after surgery; instead, the client should be log rolled onto the non-operative side with an abduction pillow in place to maintain proper alignment.
Correct Answer is A
Explanation
A. Decreased bone density occurs during menopause due to lower estrogen levels, increasing the risk for osteoporosis. Estrogen helps maintain bone mass.
B. Sexual desire typically decreases, not increases, during menopause due to hormonal decline and vaginal dryness.
C. Vaginal secretions usually decrease, causing dryness, not increase. Menopause causes vaginal atrophy and thinning of tissues.
D. Sweating and hot flashes usually increase during menopause, not decrease. This is caused by vasomotor instability.
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