The physician orders acetaminophen (Tylenol) for a client with a ...

[londonang]

The physician orders acetaminophen (Tylenol) for a client with a fever. The nurse would plan to validate which other order with the physician?
 
  1. Heparin 5,000 units subcutaneously every 8 hours
  2. Warfarin (Coumadin) 2 mg orally every day
  3. Penicillin G benzathine (Bicillin LA) 2.4 million units IM one time
  4. Paroxetine (Paxil) 37.5 mg orally every day

Question 2

The client has been taking hydrocortisone (Cortef) for a month, and abruptly stops it. What will the best assessment by the nurse include?
 
  1. Fatigue and anorexia
  2. Hyperglycemia and depression
  3. Dilated pupils and auditory hallucinations
  4. Tachycardia and weight gain

[Laurenleakan]

Answer to Question 1

Correct Answer: 2
Rationale 1: There is no contraindication to the use of heparin and acetaminophen (Tylenol).
Rationale 2: Acetaminophen (Tylenol) inhibits warfarin (Coumadin) metabolism. Concomitant use of these two medications could result in a toxic accumulation of warfarin (Coumadin).
Rationale 3: There is no contraindication to the use of penicillin G benzathine (Bicillin LA) and acetaminophen (Tylenol).
Rationale 4: There is no contraindication to the use of paroxetine (Paxil) and acetaminophen (Tylenol).

Answer to Question 2

Correct Answer: 1
Rationale 1: Glucocorticoids must be discontinued gradually. Abrupt withdrawal can result in acute lack of adrenal function. Fatigue and anorexia are signs of adrenal insufficiency.
Rationale 2: Hyperglycemia and depression are not signs of adrenal insufficiency.
Rationale 3: Dilated pupils and auditory hallucinations are not signs of adrenal insufficiency.
Rationale 4: Tachycardia and weight gain are not signs of adrenal insufficiency.

[londonang]

Thanks

[Laurenleakan]

Welcome