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 A
Explanation
Choice A rationale: Loss of consciousness is a serious adverse reaction that should be reported to the healthcare provider. Instructing the wife to call the provider if it happens again is an appropriate response.
Choice B rationale: Stopping the medication without consulting the provider may not be advisable, as sudden discontinuation of some medications can have adverse effects.
Choice C rationale: Taking the next dose with food may be a general recommendation for some medications, but it does not directly address the issue of loss of consciousness.
Choice D rationale: While moving slowly when changing positions is a general recommendation for some medications, the immediate concern is the loss of consciousness, and contacting the provider is more appropriate.
Correct Answer is B
Explanation
Choice A rationale: A sore throat in a patient taking immunosuppressive medications requires further assessment and intervention beyond home remedies.
Choice B rationale: Assessing for fever is crucial, as an infection in a patient on immunosuppressive therapy can be serious and requires prompt attention.
Choice C rationale: Stopping cyclosporine abruptly without guidance from the provider can lead to rejection; this decision should be made by the healthcare provider.
Choice D rationale: Reassurance alone may not be appropriate, given the potential seriousness of infection in an immunocompromised patient.
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