Read the scenario and answer the 3 questions (be sure to look up any terms that you don’t understand): Part 1: 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

Part 1: 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.

 What factors, if any, in the patients history would cause the nurse to question the order for acetaminophen?

Part 2: The patient was discharged home on acetaminophen. Over the next few days, the patients 2-year-old granddaughter was visiting. The child found the bottle of acetaminophen and consumed 30 tablets before being discovered.

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

Part 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 

   3. Which behavior would cause the nurse the most concern?