Scenario #11. A 65 year old client suffered a hip fracture and underwent hip surgery yesterday. He is scheduled to ambulate with physical therapy this morning. Which intervention should the nurse implement to assist the client to be able to perform the therapy?A. Assist the client to the bedside chair with the therapist’s help.B. Administer pain medication 30 minutes before therapy.C. Ask the unlicensed assistive personnel to brush the client’s hair.D. Ask the client to delay the therapy until late in the day.2. This afternoon, the nurse administered intravenous morphine as the client was complaining of hip pain. Forty-five minutes after the nurse administered the morphine, the client continues to complain of severe pain to his hip. Which intervention should the nurse implement first?A. Administer another dose of morphine.B. Turn on the television to distract the client.C. Assess the client’s affected hip.D. Notify the health-care provider of the problem.Scenario #2: The nurse is caring for clients on an orthopedic unit. Please answer the following questions: 3. The nurse is preparing to administer morning medications to the clients on the unit. Which medication should the nurse question?A. Ibuprofen to a client with back pain and history of peptic ulcers.B. Morphine to a client with back pain rate a “6” on scale of 0-10.C. Acetaminophen for a fever.D. Zolpidem for difficulty sleeping.4. The nurse has administered an opioid analgesic to a client. Which interventions should the nurse implement? Select all that applyA. Discuss with the physician starting the client on a stool softener.B. Teach the client about rating the pain on a numeric pain scale.C. Inform the client to rise quickly from a supine position.D. Tell the client to call for assistance when getting out of bed.5. Due to the client’s diagnosis of low back pain, cyclobenzaprine is prescribed. Which instructions should the nurse teach the client? Select all that applyA. Take the medication just before leaving home for work each day.B. Drink a full glass of water with each dose of medication.C. The medication can cause drowsiness that will make driving unsafe.D. Divide the dose of medication between early morning and bedtime.E. Encourage the client to change positions slowly. Scenario #3: 6. The nurse working in the postanesthesia care unit (PACU) recovering a male client after an exploratory laparotomy administers the prescribed hydromorphone intravenously. Five minutes later the nurse assess the client’s respirations at 8 breaths per minute. Which intervention should the nurse implement first?A. Ask the anesthesiologist to come and assess the client.B. Administer naloxone intravenously.C. Re-assess the client’s respiratory status in 20 minutes.D. Use an ambu bag and ventilate the client.Scenario #4: 7. An adolescent client has been admitted to the intensive care department for an overdose of acetaminophen. Which laboratory data should the nurse monitor for long-term complications from the attempt?A. Arterial blood gasesB. Liver function testsC. Complete blood countD. Serum creatinine and BUNScenario #5: Mrs. Lee has been taking the ibuprofen for the last 2 months. She has noticed both her knees are occasionally red and warm when she touches them. She has observed that besides her knee pain, the joints in her hands have been red with some swelling. The physician diagnoses Mrs. Lee with rheumatoid arthritis and gout. He starts her on allopurinol 100mg po every day and celecoxib 100mg po BID for pain. In teaching Mrs. Lee about her new medication regimen:8. You describe to Mrs. Lee how allopurinol will help in the management of her joint pain. What is your best explanation?A. “Allopurinol reduces the amount of lactic acid that accumulates in the joints.”B. “Allopurinol reduces the amount of uric acid that accumulates in the joints.”C. “Allopurinol reduces the amount of carbonic acid that accumulates in the joints.”D. “Allopurinol reduces the amount of hydrochloric acid that accumulates in the joints.9. What dietary instructions should be provided to Mrs. Lee in regard to her new gout diagnosis?A. “Avoid alcohol, aged cheese, and red meats.”B. “Avoid low fat milk and other dairy items.”C. “Eat only fruits and vegetables every day.”D. “Adhere to a low-fat, low cholesterol diet.”

Question

Scenario #11. A 65 year old client suffered a hip fracture and underwent hip surgery yesterday. He is scheduled to ambulate with physical therapy this morning. Which intervention should the nurse implement to assist the client to be able to perform the therapy?A. Assist the client to the bedside chair with the therapist’s help.B. Administer pain medication 30 minutes before therapy.C. Ask the unlicensed assistive personnel to brush the client’s hair.D. Ask the client to delay the therapy until late in the day.2. This afternoon, the nurse administered intravenous morphine as the client was complaining of hip pain. Forty-five minutes after the nurse administered the morphine, the client continues to complain of severe pain to his hip. Which intervention should the nurse implement first?A. Administer another dose of morphine.B. Turn on the television to distract the client.C. Assess the client’s affected hip.D. Notify the health-care provider of the problem.Scenario #2: The nurse is caring for clients on an orthopedic unit. Please answer the following questions: 3. The nurse is preparing to administer morning medications to the clients on the unit. Which medication should the nurse question?A. Ibuprofen to a client with back pain and history of peptic ulcers.B. Morphine to a client with back pain rate a “6” on scale of 0-10.C. Acetaminophen for a fever.D. Zolpidem for difficulty sleeping.4. The nurse has administered an opioid analgesic to a client. Which interventions should the nurse implement? Select all that applyA. Discuss with the physician starting the client on a stool softener.B. Teach the client about rating the pain on a numeric pain scale.C. Inform the client to rise quickly from a supine position.D. Tell the client to call for assistance when getting out of bed.5. Due to the client’s diagnosis of low back pain, cyclobenzaprine is prescribed. Which instructions should the nurse teach the client? Select all that applyA. Take the medication just before leaving home for work each day.B. Drink a full glass of water with each dose of medication.C. The medication can cause drowsiness that will make driving unsafe.D. Divide the dose of medication between early morning and bedtime.E. Encourage the client to change positions slowly. Scenario #3: 6. The nurse working in the postanesthesia care unit (PACU) recovering a male client after an exploratory laparotomy administers the prescribed hydromorphone intravenously. Five minutes later the nurse assess the client’s respirations at 8 breaths per minute. Which intervention should the nurse implement first?A. Ask the anesthesiologist to come and assess the client.B. Administer naloxone intravenously.C. Re-assess the client’s respiratory status in 20 minutes.D. Use an ambu bag and ventilate the client.Scenario #4: 7. An adolescent client has been admitted to the intensive care department for an overdose of acetaminophen. Which laboratory data should the nurse monitor for long-term complications from the attempt?A. Arterial blood gasesB. Liver function testsC. Complete blood countD. Serum creatinine and BUNScenario #5: Mrs. Lee has been taking the ibuprofen for the last 2 months. She has noticed both her knees are occasionally red and warm when she touches them. She has observed that besides her knee pain, the joints in her hands have been red with some swelling. The physician diagnoses Mrs. Lee with rheumatoid arthritis and gout. He starts her on allopurinol 100mg po every day and celecoxib 100mg po BID for pain. In teaching Mrs. Lee about her new medication regimen:8. You describe to Mrs. Lee how allopurinol will help in the management of her joint pain. What is your best explanation?A. “Allopurinol reduces the amount of lactic acid that accumulates in the joints.”B. “Allopurinol reduces the amount of uric acid that accumulates in the joints.”C. “Allopurinol reduces the amount of carbonic acid that accumulates in the joints.”D. “Allopurinol reduces the amount of hydrochloric acid that accumulates in the joints.9. What dietary instructions should be provided to Mrs. Lee in regard to her new gout diagnosis?A. “Avoid alcohol, aged cheese, and red meats.”B. “Avoid low fat milk and other dairy items.”C. “Eat only fruits and vegetables every day.”D. “Adhere to a low-fat, low cholesterol diet.”

Accepted Answer

1) Nursing interventions that are required in postoperative care include prompt pain control,…