Which of the following statements is true regarding benzodiazepines?
1. These drugs are safe to use in pregnancy.
2. These drugs may be habit forming.
3. If a dose is forgotten, double the next dose.
4. Caffeine enhances the effect.
2
Benzodiazepines may be habit forming; the patient should use them for the least time possible.
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A patient with moderate to severe chronic pain has been taking oxycodone [OxyContin] 60 mg every 6 hours PRN for several months and tells the nurse that the medication is not as effective as before
The patient asks if something stronger can be taken. The nurse will contact the provider to discuss: a. administering a combination opioid anal-gesic/acetaminophen preparation. b. changing the medication to a contin-ued-release preparation. c. confronting the patient about drug-seeking behaviors. d. withdrawing the medication, because physical dependence has occurred.
The nurse observes the arm of a patient who was given the Mantoux skin test for tuberculosis. There is induration of 3 mm. The nurse documents that the results are:
1. negative. 2. questionable. 3. positive for exposure. 4. positive for TB.
A surgical client has been ordered a dose of IV cephalosporin. Why is it important that this drug be administered as close as possible to the time of surgery?
A) to prevent the development of atelectasis postoperatively . B) to prevent the development of aspiration intraoperatively. C) to allow for decreased level of white blood cells. D) to maximize serum levels of the medication during surgery.
A nurse is caring for a client on the medical stepdown unit. The following data are related to this client:
Subjective Information Laboratory Analysis Physical Assessment Shortness of breath for 20 minutes Feels frightened "Can't catch my breath" pH: 7.12 PaCO2: 28 mm Hg PaO2: 58 mm Hg SaO2: 88% Pulse: 120 beats/min Respiratory rate: 34 breaths/min Blood pressure 158/92 mm Hg Lungs have crackles What action by the nurse is most appropriate? a. Call respiratory therapy for a breathing treatment. b. Facilitate a STAT pulmonary angiography. c. Prepare for immediate endotracheal intubation. d. Prepare to administer intravenous anticoagulants.