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.

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A rationale:

Donepezil does not decrease urinary output. It works by increasing the amount of a certain naturally occurring substance in the brain.

Choice B rationale:

Donepezil does not improve pulmonary function. Its primary function is to improve mental function.

Choice C rationale:

Donepezil improves cognitive function. It can improve thinking ability and slow the loss of these abilities in people who have Alzheimer’s disease.

Choice D rationale:

Donepezil does not decrease the incidence of seizures. In fact, patients should inform their healthcare provider if they have a history of seizures before starting donepezil.

A. "We should be sure that he eats a lot of protein with each meal.” B. "We should watch for an increase in unusual movements.” C. "This medication will prevent the disease from progressing.” D. "This medication should result in a rapid improvement in his condition.”

Correct Answer is B

Explanation

Choice A rationale:

While it’s important for the client to maintain a balanced diet, consuming a lot of protein with each meal does not specifically benefit a person taking levodopa/carbidopa for Parkinson’s disease.

Choice B rationale:

Levodopa/carbidopa can cause side effects such as uncontrolled muscle movements in the face, arms, legs, or trunk. Therefore, monitoring for an increase in unusual movements is a sign of understanding the potential side effects of the medication.

Choice C rationale:

Levodopa/carbidopa helps manage the symptoms of Parkinson’s disease but does not prevent the disease from progressing.

Choice D rationale:

While levodopa/carbidopa can help reduce symptoms such as stiffness and tremors, it does not typically result in a rapid improvement in condition.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with the family of a client who has a new prescription for donepezil.Which of the following therapeutic effects should the nurse inform the family to expect?

Correct Answer is C

Explanation

A nurse is reinforcing discharge teaching with the family of a client who has a new diagnosis of Parkinson's disease and a prescription for levodopa/carbidopa.Which of the following statements made by the client's family indicates an understanding of the teaching?

Correct Answer is B

Explanation

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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?