The nurse should question an order for tramadol (Ultram) for which client?
1. An 18-year-old female with a femur fracture
2. A 65-year-old male with prostate cancer
3. A 59-year-old male with COPD
4. A 60-year-old female with hypertension
Correct Answer: 3
Rationale 1: Tramadol is safe for young adults and orthopedic fractures.
Rationale 2: Tramadol does not affect urinary output, and can be used safely in clients with prostate cancer.
Rationale 3: Tramadol can cause respiratory depression; it should be used cautiously in clients with COPD.
Rationale 4: Tramadol does not raise blood pressure, and can be used in clients with hypertension.
Global Rationale: Tramadol can cause respiratory depression; it should be used cautiously in clients with COPD. Tramadol is safe for young adults and orthopedic fractures. Tramadol does not affect urinary output, and can be used safely in clients with prostate cancer. Tramadol does not raise blood pressure, and can be used in clients with hypertension.
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