Question

9. After a laparoscopic cholecystectomy, a 43 year old client complains of pain and nausea. The nurse is preparing meperidine(Demerol) 75mg and promethazine (Phenergan) 12.5 mg to be administered IM in the same syringe. If the label on the reads 50mm and the label on the Phenergan reads 25 mg/ml how many ml. should the nurse have in the syringe after the correct amount is drawn up Need for Demerod = 75ing, Have Dermed = 5 _ml. Therefore tetal Demerot drawn in Syringe = 1 Need for Phenergan = 12.5ing, Have Phanurgan Total Phenergan drawn in Syringe 0.5 10. A client undergoes a barium swallow that confirms GERD. Based on this diagnosis the client should be instructed to take which (Select all that apply) a. Follow a high fat, low fiber diet b. Avoid caffeine and carbonated beverages C. Sleep with the head of the bed flat d. Stop smoking e. Take antacids 1 hour and 3hours after meals f. Limit alcohol to one drink per day

And in each case give the rationale for the selection.

Answer 1

10.

Selected options are

b. Caffiene and other carbonated beverages will trigger the GERD symptoms, hence it is better to avoid.

d. Smoking also will trigger GERD symptoms

e. Antacids to be given 1 hour after meals because acids are produced only after taking meals. If taken before meals then the effect will be there only for 30 to 60 mins after taking food