« previous next »

Author Question: A hospitalized client has a history of depression for which sertraline (Zoloft) is prescribed. The ... (Read 124 times)

Mr. Wonderful

  • Hero Member
  • *****
  • Posts: 866
on: Jun 25, 2018
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
Reply #1 on: Jun 25, 2018
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

Mr. Wonderful

  • Hero Member
  • *****
  • Posts: 866
Reply #2 on: Jun 25, 2018
Thank you :)


scottmt

  • Sr. Member
  • ****
  • Posts: 322
Reply #3 on: Jun 25, 2018
Happy to help you


« previous next »
 

Did you know?

Anesthesia awareness is a potentially disturbing adverse effect wherein patients who have been paralyzed with muscle relaxants may awaken. They may be aware of their surroundings but unable to communicate or move. Neurologic monitoring equipment that helps to more closely check the patient's anesthesia stages is now available to avoid the occurrence of anesthesia awareness.

Did you know?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

Did you know?

An identified risk factor for osteoporosis is the intake of excessive amounts of vitamin A. Dietary intake of approximately double the recommended daily amount of vitamin A, by women, has been shown to reduce bone mineral density and increase the chances for hip fractures compared with women who consumed the recommended daily amount (or less) of vitamin A.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

The health history can be gathered from many sources The health history can be gathered from many sources
Nursing history for lung assessment Nursing history for lung assessment
Earthquake history: Strike-Slip Fault in Turkey Earthquake history: Strike-Slip Fault in Turkey
Stressful Life Events, 5-HTT, and Depression Stressful Life Events, 5-HTT, and Depression
Positioning the client Positioning the client
History Quiz Questions History Quiz Questions
Video: Mechanisms of capillary exchange

For a complete list of videos, visit our video library