An older client with a history of hypertension and osteoarthritis who has recently fallen and fractured two ribs is prescribed extra strength Tylenol for the pain. What statement by the client requires further evaluation by the nurse?
a. "I find that when I drink herbal tea and then take my Tylenol at bedtime, I sleep through the whole night."
b. "I heard that meditation may help me deal with the pain without taking all that Tylenol."
c. "Two extra strength Tylenol tablets (500 mg/tablet) every 4 hours around-the-clock and my pain is gone."
d. "I make sure that I take my Tylenol with breakfast when I first get up."
ANS: C
The maximum dose for Tylenol is 4 g per 24-hour period; two extra strength Tylenol tablets every 4 hours would mean that the client is taking 6 g and would need further evaluation. Herbal tea may have a relaxing effect and help her sleep. Meditation is one of the alternative modalities that help some patients deal with pain. The practice of taking Tylenol with breakfast upon waking is acceptable.
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