The nurse is caring for an elderly patient who is status-post right hip open-reduction internal fixation (ORIF). The patient is taking oxycodone (OxyContin) every 6 hours as needed for pain and chlorpheniramine (Chlor-Trimeton) daily
The nurse discusses obtaining an order from the prescriber for which of the following medications? a. GoLYTELY
b. Lactulose
c. Docusate sodium (Colace)
d. Polyethylene glycol (MiraLax)
C
Oxycodone and chlorpheniramine both can be constipating. The patient needs something pro-phylactically, such as docusate sodium, that can be taken daily to prevent constipation. In addi-tion, the patient's mobility is limited, which can further increase the risk of constipation.
GoLYTELY is not indicated for constipation. It is used for cleansing the bowel prior to diagnos-tic procedures.
Lactulose is not indicated. It typically is used for reducing ammonia levels in hepatic encephalo-pathy.
Polyethylene glycol is indicated for occasional constipation. No information suggests that the patient is constipated.
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A client is scheduled for a joint replacement surgery. Which action would be most important?
A) Ensure adequate fluid intake before the surgery. B) Withhold intake of solid food before the surgery. C) Withhold administration of aspirin before the surgery. D) Ensure adequate sleep before the surgery.
A healthcare system has implemented a functionality where patients who are overdue or almost due for a mammogram are sent letters notifying them to schedule a mammogram based on available data and current clinical care guidelines. Which type of CDS system is this?
a. This is not a CDS. b. A personal health record system c. A reminder system d. An alerting system
The nurse caring for a client who had spinal anesthesia will ensure that the plan of care includes
a. administering oxygen to reduce the hypoxia produced by spinal anesthesia. b. elevating the client's feet to increase the blood pressure. c. elevating the head of the bed to decrease nausea. d. instructing the client to remain flat in bed for 6 hours.
The nurse is doing nutrition counseling with a 21-year-old pregnant woman in the clinic area. What should the nurse explain to the client about caloric intake during the second and third trimesters of her pregnancy?
A) She will need approximately 450 cal/day increase during the third trimester. B) She will need approximately 450 cal/day increase during the second trimester. C) She will need approximately 500 cal/day increase during the third trimester. D) She will need approximately 500 cal/day increase during the second trimester.