The practical nurse (PN) is helping with the care plan for a client who is taking the nonsteroidal anti-inflammatory drug ketorolac for painful back muscle spasms.
What intervention should the PN include in the client’s care plan?
Observe the client for development of involuntary movements of the lips and tongue.
Administer the medication at least 30 minutes before the client’s meals.
Assess the skin daily for areas of ecchymosis or other signs of bleeding.
Ensure peak and trough serum levels are collected with the third dose of medication.
The Correct Answer is C
Choice A rationale
Involuntary movements of the lips and tongue are typically associated with antipsychotic medications, not nonsteroidal anti-inflammatory drugs (NSAIDs) like ketorolac15. Therefore, observing the client for these symptoms would not be a relevant intervention for a client taking ketorolac15.
Choice B rationale
Administering the medication at least 30 minutes before meals is not a specific requirement for ketorolac15. Therefore, this would not be a necessary intervention for a client taking this medication15.
Choice C rationale
Ketorolac, like other NSAIDs, can increase the risk of bleeding15. This can manifest as areas of ecchymosis (bruising) or other signs of bleeding on the skin15. Therefore, assessing the skin daily for these signs would be an important intervention for a client taking ketorolac15.
Choice D rationale
Peak and trough serum levels are typically monitored for medications with a narrow therapeutic index, such as certain antibiotics15. Ketorolac does not typically require
monitoring of serum levels15. Therefore, ensuring peak and trough serum levels are collected would not be a necessary intervention for a client taking this medication15.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1"]
Explanation
Step 1 is: Calculate the total amount of warfarin required. The healthcare provider has prescribed 7.5 mg of warfarin.
Step 2 is: Subtract the amount of warfarin already administered. The patient has already received 2 tablets, each containing 2.5 mg of warfarin, for a total of 5 mg.
Step 3 is: Calculate the additional amount of warfarin required. The total amount required (7.5 mg) minus the amount already administered (5 mg) equals 2.5 mg.
Step 4 is: Determine the number of additional tablets required. Since each tablet contains 2.5 mg of warfarin, the patient should receive 1 additional tablet.
Correct Answer is ["A","C","E","G"]
Explanation
Attaching the patient to a continuous cardiac monitor is crucial in this situation. It allows for real-time monitoring of the patient’s heart rate and rhythm, providing valuable information about the patient’s cardiovascular status.
Choice C rationale
Administering a fluid bolus can be beneficial in certain situations. It can help increase the patient’s blood volume, which can improve blood pressure and organ perfusion. This is particularly important if the patient is showing signs of hypovolemia or shock.
Choice F rationale
Preparing for cardioversion is another important step. Cardioversion is a medical procedure that restores a normal heart rhythm in people with certain types of abnormal heartbeats (arrhythmias). It’s usually done by sending electric shocks to your heart through electrodes placed on your chest.
Choice G rationale
Administering an extra dose of furosemide can be helpful. Furosemide is a type of medicine called a diuretic. It’s used to treat high blood pressure, heart failure and oedema (a build up of fluid in the body). It’s also sometimes used to help you pee when your kidneys aren’t working properly.
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