A patient was in a car accident and was placed on opioid analgesics for pain. Six months later, the patient's injuries have healed, but the patient continues to want prescriptions for the opioid
Which of the following assessment findings is least likely to be present in the patient who is dependent on an opioid analgesic?
a. The patient drops out of a Saturday night Bingo group.
b. The patient continues to manage to get to work each day.
c. The patient tried to quit using the opioid but couldn't stop thinking about it.
d. The patient has been to three or four physicians to obtain new prescriptions for the drug.
ANS: B
The addicted patient gives up important social or professional functions to use the substance, has tried at least once to quit but still obsesses about the substance, spends significant time obtaining the substance, and is unable to fulfill major role obligations at work, school, or home.
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A 4-week postpartum patient with mastitis asks the nurse if she can continue to breastfeed. What is the nurse's most helpful response?
a. "Stop breastfeeding until the infection clears." b. "Pump the breasts to continue milk production, but do not give breast milk to the infant." c. "Begin all feedings with the affected breast until the mastitis is resolved." d. "Breastfeeding can continue unless there is abscess formation."
Hypertensive disorders of pregnancy are typically noted during which period of a pregnancy?
a. after 20 weeks c. the first month b. labor and delivery d. the first 20 weeks
While performing a patient's ordered wound care for the treatment of a burn, the patient has made a series of sarcastic remarks to the nurse and criticized her technique. How should the nurse best interpret this patient's behavior?
A) The patient may be experiencing an adverse drug reaction that is affecting his cognition and behavior. B) The patient may be experiencing neurologic or psychiatric complications of his injuries. C) The patient may be experiencing inconsistencies in the care that he is being provided. D) The patient may be experiencing anger about his circumstances that he is deflecting toward the nurse.
You are planning caring for a postpartum family and want to focus on self-care issues. You decide to structure your approach on the work of two nurse researchers Sichel and Driscoll (1999). Your plan would include which of the following?
a. Spirituality d. Medical treatment b. Nourishment e. Understanding c. Exercise f. Rest and Relaxation