A nurse is caring for a client who is postoperative following arthroscopy and reports a pain level of 6 on a scale of 0 to 10 after receiving ketorolac 1 hr ago.
Which of the following actions should the nurse take?
Tell the client they can have another dose of ketorolac in 3 hr.
Administer oxycodone 5 mg orally.
Give acetaminophen 650 mg rectally.
Document that the client is exhibiting drug-seeking behaviors.
The Correct Answer is B
Choice A rationale:
Ketorolac is a non-steroidal anti-inflammatory drug (NSAID) used for pain relief after surgery. However, it’s not typically administered every 3 hours. Overuse can lead to serious side effects.
Choice B rationale:
If the client’s pain level remains high after receiving ketorolac, administering an opioid medication like oxycodone may be appropriate.
Choice C rationale:
While acetaminophen can be used for pain relief, rectal administration is not typically the first choice for postoperative pain management.
Choice D rationale:
It’s inappropriate to label a patient as exhibiting drug-seeking behaviors simply because their reported pain level remains high after medication. Pain is subjective and should be addressed appropriately.
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Related Questions
Correct Answer is D
Explanation
Choice Arationale:
Using PCA does not necessarily increase the client’s risk of toxicity. PCA allows the client to self-administer preset doses of pain medication, which can lead to better pain control with less risk of overdose.
Choice B rationale:
Diarrhea is not a common adverse effect of morphine. Constipation, not diarrhea, is a common side effect due to slowed gastrointestinal motility.
Choice Crationale:
Checking the client’s pain level every 8 hours is not sufficient when using PCA. Pain levels should be assessed more frequently, ideally before and after each administration of the medication. This allows for timely adjustments to the medication regimen if needed.
Choice D rationale:
Instructing the client’s visitors not to operate the PCA pump is crucial. Only the patient should administer doses to prevent overdose.
Correct Answer is ["1.2"]
Explanation
To calculate the dose of somatropin to be administered per dose, we first need to convert the child's weight from pounds to kilograms. We can do this using the following conversion factor:
1 kg = 2.2 lbs
Therefore, the child's weight in kilograms is:
weight_kg = 66 lbs / 2.2 lbs/kg = 30 kg
Next, we can calculate the total dose of somatropin to be administered per week using the following formula:
total_dose = weight_kg * 0.24 mg/kg/week
This gives us a total dose of:
total_dose = 30 kg * 0.24 mg/kg/week = 7.2 mg/week
Finally, we can calculate the dose of somatropin to be administered per dose by dividing the total dose by the number of daily doses:
dose_per_dose = total_dose / 6 doses/day = 1.2 mg/dose
Therefore, the nurse should administer 1.2 mg of somatropin per dose.
Answer: 1.2 mg of somatropin per dose.
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