Exhibits

What other medications would the nurse expect the surgeon to prescribe along with Morphine? Select all that apply.

Ibuprofen

Docusate sodium

Naloxone

Propofol

Methadone

Senna

Answer and Explanation

Correct Answer : B,C

A. Ibuprofen: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID commonly used for
pain relief and inflammation. However, it may not be suitable for this patient due to the potential risk of bleeding and interference with wound healing after surgery.
B. Docusate sodium: Docusate sodium is a stool softener commonly prescribed with opioids to prevent constipation, a common side effect of opioid use. It helps to prevent or alleviate opioid- induced constipation.
C. Naloxone: Naloxone is an opioid antagonist used to reverse the effects of opioid overdose. It is typically prescribed alongside opioids as a precautionary measure to counteract the respiratory
depression and sedation that can occur with opioid use. Administering naloxone can rapidly reverse these effects and restore normal breathing if opioid overdose is suspected.

D. Propofol: Propofol is a sedative-hypnotic medication used for anesthesia induction and
maintenance during surgical procedures. It is not typically prescribed for pain management after surgery.
E. Methadone: Methadone is an opioid agonist often used for managing chronic pain and opioid dependence. While it is an option for pain management, it may not be the first choice for acute post-operative pain relief.
F. SennA Senna is a stimulant laxative used to treat constipation. While constipation is a concern with opioid use, docusate sodium is more commonly prescribed initially for its stool softening effects

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Correct Answer is ["B","H"]

Explanation

A. Chesty: Not a priority compared to monitoring vital signs and ensuring adequate oxygenation.
B. Start oxygen 3 L via nasal cannulA Increased oxygen flow is necessary to manage the

client's respiratory distress and history of smoking. Correct Answer: 3 L, not 1 L as initially listed.
C. Acetaminophen 350 mg PO q4h for temperature greater than 101 F (38.3°C): Important for fever management but not the first priority in acute respiratory distress.

D. Normal saline 150 ml/hour: Helps maintain hydration but is secondary to respiratory support in this scenario.
E. NPO: Not applicable as there is no immediate need for surgery or risk of aspiration currently indicated.
F. Start an IV: Important for medication administration and fluid balance but follows after ensuring respiratory function.
G. Sputum culture: Useful for diagnosing the cause of respiratory symptoms but not a first- line action.
H. Place the client on a cardiorespiratory monitor: Essential for continuously assessing the client's respiratory and cardiac status due to difficulty breathing.

A. Provide diet low in phosphorus. B. Note signs of swelling and edema. C. Increase oral fluid intake to 1,500 mL daily. D. Monitor abdominal girth. E. Report serum albumin and globulin levels.

Correct Answer is ["B","D","E"]

Explanation

A. A diet low in phosphorus is not typically indicated for cirrhosis of the liver. Cirrhosis primarily affects the body's ability to handle proteins and not phosphorus.
B. Noting signs of swelling and edema is important as these are common complications of cirrhosis due to hypoalbuminemia and portal hypertension.
C. Increasing oral fluid intake is not advised as it can exacerbate fluid retention and ascites, which are complications of cirrhosis.
D. Monitoring abdominal girth is crucial for assessing changes in ascites and potential fluid overload.
E. Reporting serum albumin and globulin levels is essential as these can indicate the severity of liver disease and help guide treatment.

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Exhibits What other medications would the nurse expect the surgeon to prescribe along with Morphine? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","H"]

Explanation

A client with cirrhosis of the liver is admitted with complications related to end stage liver disease. Which intervention(s) should the nurse implement? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

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Exhibits

What other medications would the nurse expect the surgeon to prescribe along with Morphine? Select all that apply.