Which of the following statements best describes tolerance of pain medicine?
A. Occurs over a long period of time
B. The client has adapted to the drug and over time its effects decline
C. The client has signs and symptoms of a withdrawal reaction
D. What the client says it is
C
Tolerance is a state of adaptation in which exposure to a drug induces changes that result in a decrease in one or more of the drug's effects over time. For example, clients who have been tak-ing an opioid for an extended period of time report less pain relief the longer they are on the me-dication.
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You are the triage nurse in the emergency department (ED). A patient presents complaining of pain and swelling in the right lower leg beginning last night along with fever, chills, and sweating
The patient states that she "hit my leg on the car door 4 or five days ago and it has been sore ever since." The patient has a history of chronic venous insufficiency. You suspect that this might be what? A) Thrombocytopenia B) Arterial insufficiency C) Cellulitis D) Phlebothrombosis
Lack of insurance, uninsured populations, and uncompensated care are covered by charging more to those who can pay. This practice is referred to as:
a. charity. b. cost shifting. c. price sharing. d. governmental reimbursement.
If the client is receiving a reduced effect from the use of alcohol over time, she has developed:
a. psychological dependence. c. physical dependence. b. alcohol intoxication. d. tolerance.
A clinic nurse is developing a teaching handout for patients who are prescribed warfarin (Coumadin) therapy. Which statement should be included in this information?
1. "Tell your dentist you are taking warfarin prior to any procedures." 2. "Report to the lab for testing of activated partial thromboplastin time (APTT)." 3. "Avoid strenuous activities." 4. "Place ice at the injection site if stinging or burning occurs." 5. "Take nonsteroidal anti-inflammatories (NSAIDs) for minor pain relief."