When educating a patient on the use of ketorolac, the nurse should emphasize which important cautionary instruction?
Avoid using NSAIDs if experiencing fever
Inform the healthcare provider about concurrent use with other medications:
Take NSAIDs on an empty stomach to enhance absorption
Take half the prescribed dosage to avoid complications associated with the drug
The Correct Answer is B
A. Avoid using NSAIDs if experiencing fever: NSAIDs like ketorolac are intended to reduce fever, so avoiding them solely because of fever is inappropriate. Fever itself is not a contraindication for use unless there are other clinical concerns.
B. Inform the healthcare provider about concurrent use with other medications: Ketorolac can interact with other medications, including anticoagulants, other NSAIDs, and certain antihypertensives, increasing the risk of bleeding, kidney damage, or reduced therapeutic effect. Patients should always inform their provider of all medications and supplements before and during treatment.
C. Take NSAIDs on an empty stomach to enhance absorption: Taking ketorolac on an empty stomach increases the risk of gastrointestinal irritation, ulceration, or bleeding. NSAIDs are generally advised to be taken with food or a full glass of water to minimize GI side effects.
D. Take half the prescribed dosage to avoid complications associated with the drug: Altering the prescribed dose without consulting a healthcare provider can lead to inadequate pain control or increased risk of adverse effects. Dosage changes should only be made under medical guidance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The nurse recognizes this as abnormal and responds with, "Do you have a plan to hurt yourself?":Statements such as wanting to “go to sleep forever” indicate passive suicidal ideation, especially concerning in an adolescent recently started on venlafaxine. SNRIs can increase suicidal thoughts early in treatment due to increased energy before mood improves. Directly asking about suicidal intent and planning is a priority safety intervention and does not increase suicide risk.
B. The nurse recognizes this as normal and responds with, "SNRIs like venlafaxine can cause insomnia. Take your dosage earlier in the day to avoid this.":Focusing on insomnia ignores the patient’s verbalized desire to stop living. Medication side-effect teaching is not appropriate when suicidal ideation is present. This delays urgent mental health assessment and intervention.
C. The nurse recognizes this as normal and responds with, "Maybe a long nap is just what you need to get some rest.":Normalizing or minimizing statements about wanting to “go to sleep forever” can reinforce feelings of hopelessness. This response fails to assess suicide risk and places the patient in danger. Therapeutic communication requires acknowledging and assessing the expressed concern.
D. The nurse recognizes this as abnormal and responds with, "I will ask the doctor if we need to increase your dosage to treat your new symptoms.":Medication adjustment is not the immediate priority when suicidal ideation is suspected. Increasing the dose without assessing safety could worsen risk. Immediate assessment of suicidal thoughts and protective measures must occur first.
Correct Answer is D
Explanation
A. I will not bother to check the expiration date of my acetaminophen medication before taking it:Taking expired medications can reduce effectiveness or increase the risk of adverse effects. Checking the expiration date is an important safety practice.
B. OTC medications are safe enough not to need a doctor's prescription so taking a little more than the bottle says can help with severe pain:Exceeding the recommended dose of acetaminophen can lead to hepatotoxicity and liver failure. Following dosing instructions is essential for safety.
C. I will mix my acetaminophen with alcohol to enhance its pain-relieving effects:Alcohol combined with acetaminophen greatly increases the risk of liver damage. These substances should never be taken together.
D. I will check the labels of my other over-the-counter medications to ensure I am not consuming multiple products containing acetaminophen:Many combination cold, flu, or pain medications contain acetaminophen. Checking labels prevents accidental overdose, supporting safe use and demonstrating appropriate patient understanding.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.