This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse is evaluating a patient 2 hours after giving a dose of 30 mg of codeine with acetaminophen ... (Read 38 times)

geoffrey

  • Hero Member
  • *****
  • Posts: 880
on: Jul 23, 2018
The nurse is evaluating a patient 2 hours after giving a dose of 30 mg of codeine with acetaminophen for postoperative pain after abdominal surgery. The patient reports a pain level of 7 on a scale of 1 to 10.
 
  The nurse notes a heart rate of 110 beats per minute, a respiratory rate of 28 breaths per minute, and a blood pressure of 180/90 mm Hg. Which action will the nurse take?
  a. Administer the next dose of codeine one hour early.
  b. Ask the provider if the codeine dose can be increased.
  c. Contact the provider to ask if a dose of ibuprofen may be given now.
  d. Request an order for oxycodone with acetaminophen (Percocet).

Question 2

The nurse is teaching a female patient who will begin taking 2 tablets of 325 mg acetaminophen every 4 to 6 hours as needed for pain. Which statement by the patient indicates understanding of the teaching?
 
  a. I may take acetaminophen up to 6 times daily if needed.
  b. I should increase the dose of acetaminophen if I drink caffeinated coffee.
  c. If I take oral contraceptive pills, I should use back-up contraception.
  d. It is safe to take acetaminophen with any over-the-counter medications.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

karlss

  • Sr. Member
  • ****
  • Posts: 321
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
The patient is showing signs of moderate to severe pain unrelieved by codeine, so the nurse should request a more potent opioid analgesic such as oxycodone. Codeine is effective for mild to moderate pain so will not be effective for this patient even if the dose is increased. The medication should not be given more frequently than every 4 hours. Ibuprofen is used for musculoskeletal pain and not postoperative pain.

Answer to Question 2

ANS: A
The maximum daily dose of acetaminophen is 4000 mg. If this patient takes 650 mg/dose 6 times daily, this amount is safe. Taking acetaminophen with caffeine increases the effect of the acetaminophen. Taking acetaminophen with OCPs decreases the effect of the acetaminophen but does not diminish the effect of the OCP. Many over-the-counter medications contain acetaminophen, so patients should be advised to read labels carefully to avoid overdose.


geoffrey

  • Member
  • Posts: 880
Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review

chjcharjto14

  • Member
  • Posts: 342
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

Signs and symptoms that may signify an eye tumor include general blurred vision, bulging eye(s), double vision, a sensation of a foreign body in the eye(s), iris defects, limited ability to move the eyelid(s), limited ability to move the eye(s), pain or discomfort in or around the eyes or eyelids, red or pink eyes, white or cloud spots on the eye(s), colored spots on the eyelid(s), swelling around the eyes, swollen eyelid(s), and general vision loss.

Did you know?

The most common childhood diseases include croup, chickenpox, ear infections, flu, pneumonia, ringworm, respiratory syncytial virus, scabies, head lice, and asthma.

Did you know?

Atropine, along with scopolamine and hyoscyamine, is found in the Datura stramonium plant, which gives hallucinogenic effects and is also known as locoweed.

Did you know?

The most destructive flu epidemic of all times in recorded history occurred in 1918, with approximately 20 million deaths worldwide.

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

Lumbar puncture. Abbreviated LP, the lumbar puncture is a common procedure that withdraws cerebrospi Lumbar puncture. Abbreviated LP, the lumbar puncture is a common procedure that withdraws cerebrospi
Medical assistants are often involved in confidential conversations between the physician and the pa Medical assistants are often involved in confidential conversations between the physician and the pa
Bilateral psoriasis on a patient’s knees. Bilateral psoriasis on a patient’s knees.
A goniometer is used to measure range of motion of the patient’s arm. A goniometer is used to measure range of motion of the patient’s arm.
Patient with osteoarthritis. Patient with osteoarthritis.
Drug tolerance: A shift in the dose-response curve to the right as a result of exposure to the drug. Drug tolerance: A shift in the dose-response curve to the right as a result of exposure to the drug.
Video: Mendel's pea plant, Pisum sativum experimental

For a complete list of videos, visit our video library