A patient with thrombocytopenia is having pain. If each of the following medications is ordered, which should the nurse choose to administer?
a. Morphine SQ
b. Meperidine (Demerol) IM
c. Oxycodone with aspirin (Percodan) PO
d. Acetaminophen with codeine (Tylenol No. 3) PO
ANS: D
Acetaminophen with codeine is an oral medication, making it the best choice. A. B. C. Injections increase risk for bleeding, as does oral aspirin. The patient with thrombocytopenia is already at risk for bleeding.
You might also like to view...
The nurse would be most concerned about the risk of lead poisoning in a client who is how old?
1. 6 months 2. 2 years 3. 5 years 4. 10 years
Congenital malformations of the infant may include:
a. Abnormal structure b. Abnormal function c. Abnormal metabolism d. All of the above
Usually it is standard practice to flush the line with 40 cc of water before and after the feeding, or every 8 hours
Indicate whether the statement is true or false.
A patient admitted with an elevated ST-segment myocardial infarction on oxygen per nasal can-nula for his diagnosed influenza continues to experience shortness of breath and has no ECG changes. What is the next best action by the RN is best?
a. Call the patient's wife to have her sit with him to calm him. b. Ask the UAP to obtain a blood glucose level. c. Call the Rapid Response Team. d. Ask the charge nurse to check on the other patients.