A 68-year-old client, Mr. Jacobs, is 3 days postoperative from a… A 68-year-old client, M
A 68-year-old client, Mr. Jacobs, is 3 days postoperative from a… A 68-year-old client, Mr. Jacobs, is 3 days postoperative from a fractured ankle that was repaired with surgery. He has a history of hepatitis B, coronary artery disease, chronic back pain, and is 50 lb overweight. In addition to intravenous (IV) antibiotics, he is receiving acetaminophen 650 mg PO every 4 hours as needed (PRN) for mild to moderate pain and fever reduction, morphine 2 mg IV every 6 hours PRN for severe pain, and aspirin 81 mg PO daily.1. What factors, if any, in the client’s history would cause the nurse to question the order for acetaminophen? Explain your answer. 2. Mr. Jacobs is ordered hydrocodone-acetaminophen 5/325 mg every 6 hours PRN pain at discharge. The healthcare provider also continued the naproxen (400mg BID) Mr. Jacobs takes for chronic back pain. Based on what the nurse knows about these medications, are there any concerns with Mr. Jacobs taking both pain medications? 3. Mrs. Jacobs came home to find Mr. Jacobs lethargic and confused. His hydrocodone-acetaminophen pill bottle is empty. She states it was filled last week with 60 tablets (1 tablet every 6 hours PRN for the next 15 days). At the emergency department, which medication(s) does the nurse anticipate will be ordered and why?Analgesia Case Study 2Fall 2021Name: _____________________________4. The home health nurse is following the client at home. Mr. Jacobs is continuing to take naproxen 400mg PO BID for pain and acetaminophen 500 mg PO PRN every 6 hrs. He is also exhibiting the following behaviors: ?Eating large amounts of green leafy vegetables?Eating popcorn and pretzels for snacks?Drinking tea instead of coffee every morning?Drinking a pint of gin over 2 days?Taking an over-the-counter cetirizine?Taking his naproxen with breakfast and supperWhich behavior would cause the nurse the most concern? Why? Health Science Science Nursing NURS 3000 Share QuestionEmailCopy link Comments (0)
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