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 ["A","D","E"]

Explanation

A. Obtain postoperative vital signs: This task is within the scope of practice for a practical nurse (PN) as it involves monitoring and recording the vital signs of a client post-surgery, which is a fundamental nursing skill.

B. Start the second blood transfusion: This task is typically reserved for a registered nurse (RN) due to the complexity and potential complications associated with blood transfusions.

C. Initiate PCA pumps: The initiation of PCA pumps is generally a responsibility of the RN because it requires assessment and understanding of the medication dosage and patient pain management needs.

D. Perform daily surgical dressing change: This is an appropriate task for a PN as it involves wound care and monitoring for signs of infection, which are within the PN's capabilities.

E. Administer a dose of insulin per sliding scale: Administering medications, including insulin, is a task that can be delegated to a PN, provided they have the knowledge and skills to do so safely.

A. Determine the need for urinary catheterizations. B. Titrate Oxygen to prescribed parameters. C. Receive a postoperative client and conduct the assessment D. Evaluate and update plans of care for clients.

Correct Answer is B

Explanation

A. Determining the need for urinary catheterization is within the scope of a registered nurse (RN), as it involves assessment and clinical judgment. A practical nurse (PN) does not independently determine the need for catheterization.
B. Titrating oxygen within prescribed parameters is an appropriate task for a PN, as it involves following provider orders and monitoring the client's response while working under RN supervision.
C. Receiving a postoperative client and conducting the initial assessment requires comprehensive assessment skills, which fall within the RN's scope of practice rather than the PN's.
D. Evaluating and updating plans of care require critical thinking and clinical decision-making, which are responsibilities of the RN. The PN can contribute to care but does not independently evaluate or modify care plans.

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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

The nurse is caring for a group of clients with the help of a practical nurse (PN). Which nursing action(s) should the nurse assign to the PN? (Select all that apply.)

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

Explanation

The nurse leading a care team on a medical surgical unit is assigning client care to a practical nurse (PN) and an unlicensed assistive personnel Which task should the nurse assign to the PN?

Correct Answer is B

Explanation

The nurse is performing a routine assessment of an IV site for a client receiving both IV fluids and medications through the line. The client reports tenderness when the nurse touches the arm above the site. Which finding should the nurse expect which will require immediate intervention?

When preparing to administer a prescribed medication to a homeless male at a community psychiatric clinic, the client tells the nurse that he usually takes a different dosage. Which action should the nurse take?

An older adult with a terminal illness is receiving hospice care and is having difficulty coping with feelings related to death and dying. Which intervention(s) should the nurse include in this client's plan of care? (Select all that apply.)

A dietitian with a prescription for no not resuscitate (DNR) begins to manifest signs of impending death. After notifying the family of the patient's status, what priority action should the nurse implement?

A client is unable to void following a procedure, so the nurse obtains a prescription to perform a straight catheterization. After inserting the catheter, the nurse observes that the client has an immediate output of 500 mL of clear yellow urine. Which action should the nurse implement next?

A client receives a prescription for norepinephrine 3 mcg/min intravenously (IV). The IV bag is contains norepinephrine 4 mg in dextrose 5% in water (DW) 1,000 ml. How many ml/hour should the nurse program the infusion pump? (Enter numerical value only)

Exhibits

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