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PN Daily #15 · Health Assessment · Archive

NCLEX-PN® question of the day

A weekly study planner, a short checklist, and a pencil on a paper deskA little time to study.MTWTFTODAY'S NEXT STEP

The question

A 52-year-old woman is seen in an outpatient orthopedic clinic 3 days after knee arthroscopy. She ambulates with a new walker and reports right knee pain rated 7/10, described as sharp with movement. Her last dose of oral oxycodone 5 mg was 40 minutes ago per the order: "Oxycodone 5 mg PO every 4 hours PRN moderate-to-severe pain, for post-op knee pain, Dr. Alvarez, today." She also has an order for acetaminophen 650 mg PO every 6 hours PRN for mild pain. Vital signs: BP 118/72 mmHg, HR 78/min, RR 14/min, SpO2 98% on room air, temp 98.4°F (36.9°C). She is alert and conversing normally. Before the next PRN dose of oxycodone can be given, which finding must the LPN/VN check?

  1. Her serum potassium level before giving the opioid
  2. Her level of sedation and respiratory rate
  3. Her blood glucose level, since insulin peaks later
  4. Only chart the current pain score with no other action

Today's and yesterday's questions are open to everyone. Older questions in the archive open with a free account, and the rationale for every option appears once you answer.