The nurse is monitoring a patient for side effects associated with opioid analgesics. Which side effects should the nurse expect to monitor for (Select all that apply)?
a. Diarrhea
b. Respiratory depression
c. Hypertension
d. Pruritus
e. Sweating
ANS: B, D, E
Side effects of opioids include respiratory depression, pruritus, and sweating. Constipation may occur, not diarrhea, and orthostatic hypotension may occur but not hypertension.
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When a therapy is used together with conventional medicine it is considered
1. Integrative 2. Naturopathic 3. Alternative 4. Complementary 5.
According to established standards, nurses must frequently assess patients experiencing pain. The most appropriate action for the nurse to take when assessing a patient's pain is which of the following?
a. Ask what precipitates pain. b. Question the patient about the location of the pain. c. Offer the patient a pain scale to objectify the patient's response. d. Use closed-ended questions to find out about the patient's sensations.
A nurse is scheduled to receive a new client with stage 2 Alzheimer disease. When planning for this client's care, the nurse recalls that the symptom most associated with stage 2 of Alzheimer disease is:
A) Mild memory loss. B) Disorientation concerning time and events. C) Disorientation concerning persons, places, or things. D) A reduction in the gag and swallowing reflex.
The nurse is caring for a patient with a stage II pressure ulcer and has assigned a nursing diagnosis of Risk for infection. The patient is unconscious and bedridden. The nurse is completing the plan of care and is writing goals for the patient
What is the best goal for this patient? a. The patient's family will demonstrate specific care of the wound site. b. The patient will state what to look for with regard to an infection. c. The patient will remain free of an increase in temperature and of odorous or purulent drainage from the wound. d. The patient's family members will wash their hands when visiting the patient.