A nurse is taking care of a patient in the ICU who has been on opioids for an extended period of time. The nurse understands that the child has to slowly wean from the medication over what period of time?
1. Over 2–4 months
2. Over 2–4 hours
3. Over 2–4 weeks
4. Over 2–4 days
3
Rationale:
1. It is not necessary for the child to wean off the opioid over 2–4 months.
2. Weaning over 2–4 hours is too quick, and will cause withdrawal symptoms to occur.
3. Slowly weaning the child off of the opioid over 2–4 weeks will prevent withdrawal symptoms.
4. Weaning over 2–4 days will cause symptoms of withdrawal.
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The nurse reads on the client's chart that the provider discovered a neoplasm in the client's abdomen. The nurse interprets this to mean that the client:
1. Has metastatic cancer. 2. Is pregnant. 3. Is at increased risk for cancer. 4. Has an abnormal growth of tissue.
The nurse is administering terbutaline (Brethine) to a pregnant woman to prevent preterm labor. The nurse would assess for which adverse effect?
a. Maternal tachycardia b. Maternal hypertension c. Fetal bradycardia d. Fetal hypokalemia
A school nurse is working with the parents of an 8-year-old who has Tourette syndrome on how best to accommodate the child. What advice would be most helpful? Select all that apply
A) Allowing for breaks when tics occur B) Providing for "time-outs" during the day C) Using a tape recorder to take notes D) Ensuring a specified amount of time for test taking E) Implementing a reward system for behavior
Patients on digoxin must be ________ daily to see if the digoxin is taking effect and whether the kidneys are working properly.
Fill in the blank(s) with the appropriate word(s).