A patient has a cancer that has been staged as T3 N2 M3. He has a PRN order of morphine, 4 mg, IM q3-4hr. He requests another pain shot about hours after the last one. An appro-priate nursing action would be to:
1. inform the patient that this narcotic may be given only every 4 hours to prevent addiction.
2. ignore the call bell for 20 minutes, and then take at least 10 minutes to prepare and administer the injection.
3. give the morphine; evaluate the results of pain relief. Arrange for the physician to evaluate for breakthrough pain.
4. ask the family to assist in helping the patient accept waiting longer to receive an addicting medication such as morphine.
3
Terminal care does not include concerns about morphine addiction. Medication may be given 15 minutes before or after an allotted time. The occurrence of breakthrough pain is a real concern for this patient.
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The nurse observes a client on an antipsychotic medication and notes a pill-rolling movement of the fingers and a tremor of the extremities. The nurse documents this as what type of side effect?
1. Drug-induced parkinsonism 2. Dystonia 3. Anticholinergic effect 4. Tardive dyskinesia
Why is shared governance important?
A. Regulates licensing of registered nurses and practical nurses B. Provides staff nurses with a voice in setting standards and policies C. Provides staff nurses with representation in the political arena D. Provides oversight and treatment of impaired nurses
A nurse is instructing a pregnant patient concerning the potential risk to her fetus from a Pregnancy Category B drug. What would the nurse inform the patient?
A) "Adequate studies in pregnant women have demonstrated there is no risk to the fetus." B) "Animal studies have not demonstrated a risk to the fetus, but there have been no adequate studies in pregnant women." C) "Animal studies have shown an adverse effect on the fetus, but there are no adequate studies in pregnant women." D) "There is evidence of human fetal risk, but the potential benefits from use of the drug may be acceptable despite potential risks."
What Glasgow Coma Scale rating would a patient receive who opens the eyes spontaneously, but has incomprehensible speech and obeys commands for movement?
a. 8 b. 10 c. 11 d. 12