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Author Question: A client is receiving an opioid analgesic following abdominal surgery. The client has been out of ... (Read 49 times)

B

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on: Jul 23, 2018
A client is receiving an opioid analgesic following abdominal surgery. The client has been out of bed to the chair and is encouraged to ambulate with assistance. The nurse is also encouraging the client to increase his fluids.
 
  He reports that his appetite is good and he has been finishing most of his meals. His bowel sounds are active but he is having difficulty passing stools. A laxative is ordered. Which nursing diagnosis would be most appropriate?
 
  A) Imbalanced Nutrition: Less Than Body Requirements
  B) Constipation
  C) Risk for Injury
  D) Deficient Knowledge

Question 2

A client is prescribed a transdermal opioid. After teaching the client and family how to administer this drug, the nurse determines that the teaching was successful when they state which of the following?
 
  A) The drug should be reapplied every 24 hours.
  B) We should try to apply the patch to about the same site each time.
  C) The site should only be cleaned with water before each application.
  D) A hairy area, like the forearm, is an appropriate place to apply the patch.


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cassie_ragen

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Reply #1 on: Jul 23, 2018
Answer to Question 1

Ans: B
Feedback:
The client is most likely experiencing constipation from the opioid therapy as well as from the lack of ambulation and activity. The client is eating, so imbalanced nutrition is not necessarily a problem. He is at risk for injury if he is experiencing adverse reactions related to the opioid therapy, but this is not apparent. Although he may have deficient knowledge about the drug, this, too, is not seen in this case.

Answer to Question 2

Ans: C
Feedback:
Only water is used to clean the site because soap and other substances may irritate the skin. The patch is applied for 72 hours and sites should be rotated. Any site that is used should be free of hair.


B

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


cassie_ragen

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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