A 78-year-old client with congestive heart failure (CHF) is reporting vascular pain in his lower legs and requests his oral narcotic analgesic. The nurse recognizes that the client's pain relief will be negatively affected primarily because of:
1. The client's age
2. The systemic effects of CHF
3. The route of administration
4. The status of the peripheral vessels
ANS: 2
Clients with congestive heart failure have impaired circulation, which impairs medication delivery to the intended site of action. Therefore the efficacy of medications in these clients is delayed or altered. The other options reflect possible barriers, but they are not as directly responsible as is the heart's functional capacity
You might also like to view...
A physical therapist recently convicted of multiple counts of Medicare fraud is brought to the emergency department after taking an overdose of sedatives. He tells the nurse, "Sure I overbilled. Why not? Everybody takes advantage of the government
They have too many rules. No one can abide by all of them.". These statements can be assessed as showing: a. glibness and charm. b. superficial remorse. c. lack of guilt feelings. d. excessive suspiciousness.
The cardiac monitor of a child recovering from heart surgery alarms, and the nurse finds the child without a heartbeat. What should the nurse do first?
A) Apply oxygen. B) Establish an airway. C) Begin rescue breathing. D) Begin cardiac compressions.
An adolescent asks the nurse about the "safety of getting a tattoo." The nurse explains to the adolescent that it is important to find a qualified operator using proper sterile technique because an unsterilized needle or contaminated tattoo ink can cause
a. Hepatitis C virus b. Hepatitis B virus c. Hepatitis E virus d. Human immunodeficiency virus (HIV) e. Mycobacterium chelonae skin infections
Antibiotics and other medications that may cause burning and pain when injected are sometimes mixed with ________, a local anesthetic, to reduce the pain.
Fill in the blank(s) with the appropriate word(s).