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A 46-year-old patient is 2 days postoperative from a fractured ankle that was repaired with internal

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A 46-year-old patient is 2 days postoperative from a fractured ankle that was repaired with internal

A 46-year-old patient is 2 days postoperative from a fractured ankle that was repaired with internal fixation. The patient has a history of alcoholic cirrhosis and is 30 lb overweight. In addition to intravenous (IV) antibiotics, the patient is receiving acetaminophen for pain and fever reduction.

1.   What factors, if any, in the patient’s history would cause the nurse to question the order for acetaminophen?

2.   At the emergency department, the nurse anticipates that the child will receive which medication?

3.   The home health nurse is following the patient at home. The patient is continuing to take acetaminophen for pain. The patient is also exhibiting the following behaviors:

•   Eating large amounts of green leafy vegetables
•   Eating apples and bananas for snacks
•   Drinking six beers over 2 days
•   Taking an over-the-counter H2 antagonist

Which behavior would cause the nurse the most concern?

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rhwyatt Author

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