Author Question: A postoperative client is being discharged with a prescription for oxycodone hydrochloride with ... (Read 57 times)

oliviahorn72 · **on:** Jun 25, 2018

A postoperative client is being discharged with a prescription for oxycodone hydrochloride with acetaminophen (Percocet). What instructions does the nurse give the client? (Select all that apply.)

a. Check all over-the-counter medications for acetaminophen.
b. Do not take more pills each day than you are prescribed.
c. Eat a diet that is high in fiber and drink lots of water.
d. If this gives you diarrhea, loperamide (Imodium) can help.
e. You shouldn't drive while you are taking this medication.

Question 2

A nurse is admitting an older client for surgery to the inpatient surgical unit. The client relates a prior history of acute confusion after a previous operation. What interventions does the nurse include on the client's plan of care to minimize the poten

a. Allow family and friends to visit as the client desires.
b. Ask the client about coping techniques frequently used.
c. Instruct the nursing assistant to ensure the client is bathed.
d. Place the client in a room secluded at the end of the hall.
e. Provide the client with uninterrupted periods of sleep.

verrinzo · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, B, C, E
Percocet is a common opioid analgesic that contains acetaminophen. The client should be taught to check all over-the-counter medications for acetaminophen and to not take more than the prescribed amount of Percocet, as the maximum daily dose of acetaminophen is 3000 mg. Percocet, like all opioid analgesics, can cause constipation, and the client can minimize this by eating a high-fiber diet and drinking plenty of water. Since Percocet can cause drowsiness, the client taking it should not drive or operate machinery. The medication is more likely to cause constipation than diarrhea.

Answer to Question 2

ANS: A, B, C, E
Older clients may have difficulty adjusting to the stress of the hospital environment and illness or surgery. Techniques that are helpful include allowing liberal visitation, assisting the client to use successful coping techniques, and keeping the client bathed and groomed. Sleep deprivation can contribute to confusion, so the nurse ensures the client receives adequate sleep. Secluding the client at the end of the hall may lead to sensory deprivation and loneliness.