An older patient with osteoarthritis is prescribed acetaminophen (Tylenol) for pain. What should the nurse teach the patient about this medication?
1. Excessive acetaminophen can cause gastrointestinal irritation.
2. Taking acetaminophen around-the-clock will slow the progression of osteoarthritis.
3. Acetaminophen cannot be used with nonsteroidal anti-inflammatory drugs (NSAIDs).
4. The maximum amount of acetaminophen should not exceed 4 grams in a 24-hour period.
4
Rationale: Gastrointestinal irritation is associated with NSAIDs, such as ibuprofen.
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An older male adult who has hyperuricemia complains of severe pain in the right ankle. Which instructions should the nurse include in patient teaching to enhance the action of medication the patient takes for his condition?
a. Avoid dehydration by drinking water. b. Take aspirin when joints are red and hot. c. Comply with antihypertensive diuretic regimen. d. Avoid game meat, asparagus, and alcohol.
The nurse is planning the client's care for the 12 hour shift and notices that the peripheral IV in the client's left hand has been in place for 36 hours. The nursing intervention in the plan of care is:
a. change the IV site since it has been in > 24 hours b. monitor the IV site c. ask another RN what the policy is for IV site changes d. change the IV site at the end of her shift since IV will have been in for 48 hours
The nurse plans assignments for the staff in an ambulatory surgery center. Which does the nurse delegate to the nursing assistant?
1. Bring the preoperative medications prepared by the nurse to the client. 2. Help the frightened toddler's parents administer a preoperative tub bath. 3. Instruct client to arrange for a ride home and a companion after surgery. 4. Reinforce preoperative teaching related to the client's postoperative diet.
A patient has a platelet count of 75,000 /mm3. What action should the nurse take to support this patient?
a. Restrict blood draws. b. Place in protective isolation. c. Wear a mask when entering the room. d. Document rectal temperatures to be taken.