Author Question: A hospitalized client has a history of depression for which sertraline (Zoloft) is prescribed. The ... (Read 122 times)

Mr. Wonderful

  • Hero Member
  • *****
  • Posts: 866
A hospitalized client has a history of depression for which sertraline (Zoloft) is prescribed. The client also has a morphine allergy and a history of alcoholism. After surgery, several opioid analgesics are prescribed. Which one would the nurse choose?
 
  a. Hydrocodone and acetaminophen (Lorcet)
  b. Hydromorphone (Dilaudid)
  c. Meperidine (Demerol)
  d. Tramadol (Ultram)

Question 2

A hospitalized client uses a transdermal fentanyl (Duragesic) patch for chronic pain. What action by the nurse is most important for client safety?
 
  a. Assess and record the client's pain every 4 hours.
  b. Ensure the client is eating a high-fiber diet.
  c. Monitor the client's bowel function every shift.
  d. Remove the old patch when applying the new one.



scottmt

  • Sr. Member
  • ****
  • Posts: 322
Answer to Question 1

ANS: B
Hydromorphone is a good alternative to morphine for moderate to severe pain. The nurse should not choose Lorcet because it contains acetaminophen (Tylenol) and the client has a history of alcoholism. Tramadol should not be used due to the potential for interactions with the client's sertraline. Meperidine is rarely used and is often restricted.

Answer to Question 2

ANS: D
The old fentanyl patch should be removed when applying a new patch so that accidental overdose does not occur. The other actions are appropriate, but not as important for safety.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

In the ancient and medieval periods, dysentery killed about ? of all babies before they reach 12 months of age. The disease was transferred through contaminated drinking water, because there was no way to adequately dispose of sewage, which contaminated the water.

Did you know?

More than one-third of adult Americans are obese. Diseases that kill the largest number of people annually, such as heart disease, cancer, diabetes, stroke, and hypertension, can be attributed to diet.

Did you know?

There are 20 feet of blood vessels in each square inch of human skin.

Did you know?

Pregnant women usually experience a heightened sense of smell beginning late in the first trimester. Some experts call this the body's way of protecting a pregnant woman from foods that are unsafe for the fetus.

Did you know?

There are more bacteria in your mouth than there are people in the world.

For a complete list of videos, visit our video library