Author Question: The nurse is caring for a client receiving codeine sulfate for pain. The nurse determines that the ... (Read 180 times)

Tazate · **on:** Jul 22, 2018

The nurse is caring for a client receiving codeine sulfate for pain. The nurse determines that the client is experiencing a side effect of the medication based on which of the following findings?

1. Distended jugular veins
2. Bounding peripheral pulses
3. No bowel movement in 3 days
4. Change in blood pressure from 120/60 to 140/80 mm Hg

Question 2

The preoperative client expresses anxiety to the nurse about the upcoming surgery. Which of the following statements by the nurse is most likely to stimulate further discussion between the client and the nurse?

1. If it's any help, everyone is nervous before surgery.
2. I will be happy to explain the entire surgical procedure to you.
3. Can you share with me what you've been told about your surgery?
4. Let me tell you about the care you'll receive after surgery and the amount of pain you can anticipate.

Galvarado142 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3

Rationale: The client taking codeine sulfate is at risk for constipation. Thus, the nurse monitors the frequency of bowel movements. The nurse also would monitor the client for hypotension, decreased respirations, and urinary retention. The nurse would plan measures to counteract these expected effects, such as encouraging fluids, coughing and deep breathing, and increasing mobility to the extent tolerated by the client.

Answer to Question 2

3

Rationale: Explanations should begin with the information that the client knows. By providing the client with an individualized explanation of care and procedures, the nurse can assist the cli-ent in handling fears and providing a smooth preoperative experience. Clients who are calm and emotionally prepared for surgery withstand anesthesia better and experience fewer postoperative complications. If it's any help, everyone is nervous before surgery. is a stereotypical response. I will be happy to explain the entire surgical procedure to you. and Let me tell you about the care you'll receive after surgery and the amount of pain you can anticipate. can increase the client's anxiety.