Before administering intravenous ketorolac (NSAID), it is essential that the nurse check the client's (select all that apply)
Renal function
Apical pulse
Serum potassium
Risk for bleeding
Pregnancy status
Correct Answer : A,D,E
Choice A rationale: NSAIDs, including ketorolac, can affect renal function and may require dose adjustment in patients with impaired renal function.
Choice B rationale: Apical pulse is not typically assessed before administering ketorolac.
Choice C rationale: Serum potassium is not directly affected by ketorolac.
Choice D rationale: Ketorolac is associated with an increased risk of bleeding, so assessing the patient's bleeding risk is important.
Choice E rationale: Ketorolac is contraindicated in pregnant women, especially in the third trimester, due to the risk of premature closure of the ductus arteriosus in the fetus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Loxapine is not specifically associated with blood monitoring; clozapine, however, requires monitoring due to the risk of agranulocytosis.
Choice B rationale: Clozapine is an atypical antipsychotic known for its potential to cause agranulocytosis, necessitating regular blood monitoring.
Choice C rationale: Thiothixene is not typically associated with blood monitoring.
Choice D rationale: Haloperidol is not specifically associated with blood monitoring in the same way as clozapine.
Correct Answer is B
Explanation
Choice A rationale: Stopping aspirin immediately may not be necessary and can increase the risk of rebound thrombosis. A gradual discontinuation is often recommended.
Choice B rationale: Stopping aspirin 3 days prior to surgery is a common recommendation to minimize the risk of bleeding during and after the surgical procedure.
Choice C rationale: Reducing the aspirin dosage may not be sufficient, and complete discontinuation is often advised before surgery.
Choice D rationale: Continuing aspirin as scheduled can increase the risk of bleeding during and after surgery. It is generally recommended to discontinue aspirin before elective surgical procedures.
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