Author Question: The patient is admitted for a fractured tibia. The nurse is preparing for cast application and ... (Read 18 times)

jessicacav · **on:** Jul 24, 2018

The patient is admitted for a fractured tibia. The nurse is preparing for cast application and expects to administer a(n) _____ to the patient minutes before the procedure.

a. oral analgesic 10
b. intramuscular (IM) analgesic 10
c. intravenous (IV) analgesic 2 to 5
d. muscle relaxant 10

Question 2

The nurse is checking gastric residual on a patient who has a continuously running tube feeding. She finds that the patient has a 600-mL residual volume. How should the nurse respond?

a. Stop the tube feeding.
b. Slow the tube feeding.
c. Continue the tube feeding at the same rate.
d. Increase the rate of the tube feeding.

yeungji · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

C
Administer analgesic per order before cast application: IV, 2 to 5 minutes before the procedure. This is the most effective way to reduce pain during cast application.
Alternately, you could administer analgesic by mouth (PO), 30 to 40 minutes before cast application to obtain optimal analgesic effect. If administering analgesic via IM injection, give does 20 to 30 minutes before cast application for optimal analgesic effect. Administer muscle relaxant 30 minutes before cast application if spasms are present. Often, muscle spasms are treated more effectively with skeletal muscle relaxants than with opioids.

Answer to Question 2

A
Tube feedings are stopped if the patient has high gastric residual (more than 500 mL).