Author Question: The physician orders acetaminophen (Tylenol) four time a day for a client with arthritis. The nurse ... (Read 23 times)

jake · **on:** Jul 23, 2018

The physician orders acetaminophen (Tylenol) four time a day for a client with arthritis. The nurse would plan to validate which other order with the physician?

1. Heparin 5000 units subcutaneously every 8 hours
2. Warfarin (Coumadin) 2 mg orally every day
3. Penicillin G benzathine (Bicillin LA) 2.4 million units IM one time
4. Paroxetine (Paxil) 37.5 mg orally every day

Question 2

A patient with Parkinson's disease is experiencing an increase in bradykinesia. What will the patient demonstrate with this manifestation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

1. Slow speech
2. Difficulty chewing
3. Shuffling the feet when walking
4. Stooped posture
5. Lack of facial expression

qytan · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

2
Rationale 1: There is no contraindication to the use of heparin and acetaminophen (Tylenol).
Rationale 2: Acetaminophen (Tylenol) inhibits warfarin (Coumadin) metabolism. Concomitant use of these two medications could result in a toxic accumulation of warfarin (Coumadin).
Rationale 3: There is no contraindication to the use of penicillin G benzathine (Bicillin LA) and acetaminophen (Tylenol).
Rationale 4: There is no contraindication to the use of paroxetine (Paxil) and acetaminophen (Tylenol).
Global Rationale: Acetaminophen (Tylenol) inhibits warfarin (Coumadin) metabolism. Concomitant use of these two medications could result in a toxic accumulation of warfarin (Coumadin). There is no contraindication to the use of heparin, penicillin G benzathine (Bicillin LA), or paroxetine (Paxil) and acetaminophen (Tylenol).

Answer to Question 2

1,2,3
Rationale 1: Slow speech is a manifestation of bradykinesia.
Rationale 2: Difficulty chewing is a manifestation of bradykinesia.
Rationale 3: Shuffling the feet when walking is a manifestation of bradykinesia.
Rationale 4: Stooped posture is not a manifestation of bradykinesia.
Rationale 5: Lack of facial expression is not a manifestation of bradykinesia.
Global Rationale: Slow speech, difficulty chewing, and a shuffling gait are manifestations of bradykinesia. Stooped posture and lack of facial expression are not manifestations of bradykinesia.