The best treatment of opioid induced constipation is:
A. Prevention with the proper intake of fluids, fiber, and stimulant laxatives
B. Prevention by using buprenorphine
C. Concomitant use of acetaminophen with the opioid
D. Concomitant use of tramadol
E. All the above
Ans: A. Prevention with the proper intake of fluids, fiber, and stimulant laxatives
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An older patient in the ICU has been determined to have early dementia. As the nurse is taking her vital signs, the patient expresses frustration that she cannot remember what happened earlier in the day
What can the nurse do to help calm the patient? A) Perform the Mini-Cog on the patient. B) Remind the patient of what actually happened earlier in the day. C) Ask the patient to recount some memories from her childhood. D) Offer the patient sugar-free candy.
Which statement is true regarding the impact of culture on end-of-life decision making?
a. African-Americans prefer more conservative, less invasive care options during the end of life. b. Caucasians prefer aggressive and more invasive care options during the end of life. c. Culture and religious beliefs may affect end-of-life decision making. d. Perspectives regarding end-of-life care are similar between and within religious groups.
A client brought to the emergency department is dead on arrival (DOA). The family of the client tells the physician that the client had terminal cancer. The emergency department physician ex-amines the client and asks the registered nurse (RN) to contact the medical examiner regarding an autopsy. The family of the client tells the RN that they do not want an autopsy performed. Which of the following responses to the family is most appropriate?
a. "An autopsy is mandatory for any client who is DOA." b. "The decision is made by the medical examiner." c. "I will contact the medical examiner regarding your request." d. "It is required by federal law. Why don't we talk about it, and why don't you tell me how you feel?"
To design and implement a decubitus ulcer risk management protocol in the electronic health record, the informatics nurse would first perform which action?
a. Build the screens in the electronic health record. b. Determine evidence supporting decubitus ulcer risk management. c. Develop the training program for staff. d. Select the appropriate standardized language.