Post-Accident Patient Care

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Questions and Answers

A newly admitted client following a motor vehicle crash is prescribed hydrocodone/acetaminophen 5 mg q 4 hr PRN pain. Which intervention is most important for the nurse to implement?

  • Administer the medication as soon as the client reports any pain.
  • Encourage the client to ambulate to reduce the need for pain medication.
  • Assess pain level and characteristics prior to medication administration. (correct)
  • Offer the medication every 4 hours regardless of the client's pain level.

A client with acute pain after a motor vehicle accident is prescribed hydrocodone/acetaminophen. Which assessment finding would be most concerning and require immediate intervention?

  • Client requests the medication every 4 hours.
  • Client reports mild nausea after taking the medication.
  • Client is drowsy and has a respiratory rate of 10 breaths per minute. (correct)
  • Client reports a pain level of 7 out of 10.

A client who experienced a motor vehicle crash is prescribed hydrocodone/acetaminophen for pain. Which teaching point should the nurse emphasize to the client?

  • Increase fluid intake and fiber to prevent constipation. (correct)
  • Drink alcoholic beverages in moderation to enhance relaxation.
  • Take the medication on an empty stomach for faster absorption.
  • Drive or operate heavy machinery only if pain becomes unbearable.

A client with a history of alcohol abuse is admitted after a motor vehicle accident and prescribed hydrocodone/acetaminophen for pain. What is the priority nursing intervention?

<p>Implement seizure precautions and monitor for signs of alcohol withdrawal. (B)</p> Signup and view all the answers

A client involved in a motor vehicle accident is prescribed hydrocodone/acetaminophen 5 mg q 4 hr PRN for pain. After administering the medication, which of the following would be most important for the nurse to document?

<p>The client's pain level before and after medication administration. (C)</p> Signup and view all the answers

A client reports increasing pain despite receiving hydrocodone/acetaminophen as prescribed. What should the nurse do first?

<p>Assess the client's pain characteristics and explore potential causes. (D)</p> Signup and view all the answers

A client is prescribed hydrocodone/acetaminophen. The client also reports taking several herbal supplements daily. What action should the nurse take?

<p>Consult with the provider and pharmacist about potential interactions. (C)</p> Signup and view all the answers

Which of the following findings in a client receiving hydrocodone/acetaminophen requires the nurse to hold the medication and contact the provider?

<p>Decreased level of consciousness. (B)</p> Signup and view all the answers

The nurse is caring for a client receiving hydrocodone/acetaminophen after a motor vehicle accident. Which of the following nursing interventions is the most appropriate to minimize the risk of adverse effects?

<p>Assessing for constipation and implementing preventive measures. (A)</p> Signup and view all the answers

The oncoming nurse is receiving a report on a client prescribed hydrocodone/acetaminophen PRN for pain. What information is most important to communicate?

<p>The time the client last received the medication and its effectiveness. (A)</p> Signup and view all the answers

Flashcards

Hydrocodone/Acetaminophen PRN

Administering hydrocodone/acetaminophen 5 mg every 4 hours as needed for pain.

Implement Seizure Precautions

Actions taken to protect a patient from injury during a seizure, such as padding side rails and ensuring a safe environment.

Provide stimulating environment

Withholding stimuli to potentially cause anxiety.

Report client's behavior

Informing the healthcare provider about changes in the patient's mental or physical state.

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Assess alcohol history

Gathering relevant information about the client's alcohol consumption patterns and history.

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Request lorazepam

Requesting an order for a benzodiazepine medication often used for anxiety or withdrawal symptoms.

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Keep the room dark

Minimizing external stimulation to promote rest and prevent further anxiety.

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Study Notes

  • A nurse is caring for a newly admitted client on a medical-surgical floor after a motor vehicle crash.
  • The task is to determine the appropriate nursing actions to take.

Medication Administration Record - Day 1

  • Hydrocodone/Acetaminophen 5 mg is prescribed every 4 hours as needed for pain (PRN).

Possible Nursing Actions

  • Delegate to have an AP in the room.
  • Implement seizure precautions.
  • Provide a stimulating environment for the client.
  • Report the client's behavior to the provider.
  • Assess the client's history of alcohol use.
  • Request a prescription for lorazepam.
  • Keep the room dark.
  • Offer orange juice to the client.

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