A postoperative client is being discharged with a prescription for oxycodone hydrochloride with acetaminophen (Percocet). What instructions does the nurse give the client? (Select all that apply.)
a. "Check all over-the-counter medications for acetaminophen."
b. "Do not take more pills each day than you are prescribed."
c. "Eat a diet that is high in fiber and drink lots of water."
d. "If this gives you diarrhea, loperamide (Imodium) can help."
e. "You shouldn't drive while you are taking this medication."
ANS: A, B, C, E
Percocet is a common opioid analgesic that contains acetaminophen. The client should be taught to check all over-the-counter medications for acetaminophen and to not take more than the prescribed amount of Percocet, as the maximum daily dose of acetaminophen is 3000 mg. Percocet, like all opioid analgesics, can cause constipation, and the client can minimize this by eating a high-fiber diet and drinking plenty of water. Since Percocet can cause drowsiness, the client taking it should not drive or operate machinery. The medication is more likely to cause constipation than diarrhea.
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