The nurse notes that a client has been receiving hydromorphone every six hours for four days. Which assessment is most important for the nurse to complete?
Count the apical and radial pulses simultaneously.
Observe for edema around the ankles.
Auscultate the client’s bowel sounds.
Measure the client’s capillary glucose level.
The Correct Answer is C
Choice A reason:
Counting the apical and radial pulses simultaneously can help detect pulse deficits, which may indicate cardiac issues. However, this is not the most critical assessment for a client receiving hydromorphone.
Choice B reason:
Observing for edema around the ankles is important for assessing fluid retention and potential heart failure. While relevant, it is not the primary concern for a client on hydromorphone.
Choice C reason:
Auscultating the client’s bowel sounds is crucial because hydromorphone, like other opioids, can cause constipation and potentially lead to paralytic ileus, a serious condition where the intestines stop moving food through. Monitoring bowel sounds helps detect early signs of this complication.
Choice D reason:
Measuring the client’s capillary glucose level is important for diabetic patients or those at risk of hyperglycemia. However, it is not directly related to the administration of hydromorphone.
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Correct Answer is D
Explanation
Choice A reason:
Consulting with a pharmacist about scheduling the dose one hour after the client eats is not appropriate for risedronate. This medication should be taken on an empty stomach to ensure proper absorption. Taking it with food or beverages other than water can significantly reduce its effectiveness.
Choice B reason:
Withholding the medication until the client’s breakfast tray is available is incorrect. Risedronate should be taken first thing in the morning, at least 30 minutes before any food, drink (other than water), or other medications.
Choice C reason:
Assigning unlicensed assistive personnel (UAP) to bring the client a glass of low-fat milk is not appropriate. Milk and other beverages can interfere with the absorption of risedronate, making it less effective.
Choice D reason:
Instructing the client that it is necessary to take nothing but water with the medication is the correct action. Risedronate should be taken with a full glass of plain water to ensure it reaches the stomach quickly and is absorbed properly. This helps maximize the medication’s effectiveness and reduces the risk of esophageal irritation.
Correct Answer is D
Explanation
Choice A reason:
Requesting a prescription to change the route of administration and use the available heparin is not appropriate. Low molecular weight heparin (LMWH) and unfractionated heparin (UFH) are not interchangeable on a unit-for-unit basis. They have different pharmacokinetics and dosing requirements. Changing the route without proper guidance can lead to incorrect dosing and potential complications.
Choice B reason:
Calculating and administering the equivalent dose of the available low molecular weight heparin is incorrect. LMWH and UFH have different dosing protocols and are not directly interchangeable. Administering LMWH instead of UFH without proper conversion and guidance can result in inappropriate anticoagulation.
Choice C reason:
Diluting the available heparin in 250 ml of normal saline solution prior to IV administration is not appropriate. The prescription specifies heparin 5000 units IV STAT, which indicates an immediate need for intravenous administration. Diluting and administering it in this manner does not align with the urgency of the order.
Choice D reason:
Advising the pharmacy of the need to deliver a vial of heparin to the nursing unit immediately is the correct action. This ensures that the client receives the prescribed medication in the correct form and dosage as ordered by the healthcare provider. It is crucial to follow the specific instructions for heparin administration to ensure patient safety and effective anticoagulation.