What is the nurse's priority assessment when administering narcotics to older adults? (Select all that apply.)
A) Central nervous system (CNS) effects
B) Gastrointestinal effects
C) Cardiovascular effects
D) Urinary effects
E) Developmental effects
A, B, C
Feedback:
Older patients are more likely to experience the adverse effects associated with these drugs, including central nervous system, gastrointestinal (GI), and cardiovascular effects. Urinary and developmental effects are not areas of high concern.
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The nurse is caring for a 2-year-old boy with hemophilia. His parents are upset by the possibility that he will become infected with hepatitis or HIV from the clotting factor replacement therapy
Which response by the nurse would be most appropriate? A) "Parents commonly fear the worst; however, the factor will help your child lead a normal life." B) "There are risks with any treatment including using blood products, but these are very minor." C) "Although factor replacement is expensive, there's more financial strain from missing work if he has a bleeding episode." D) "Since dry heat treatment of the factor began in 1986, there have been no reports of virus transmission."
A patient with a cerebral aneurysm exhibits signs and symptoms of an increase in intracranial pressure (ICP). What nursing intervention would be most appropriate for this patient?
A) Range-of-motion exercises to prevent contractures B) Encouraging independence with ADLs to promote recovery C) Early initiation of physical therapy D) Absolute bed rest in a quiet, nonstimulating environment
The primiparous patient at 40 weeks' gestation reports to the nurse that she has had increased pelvic pressure and increased urinary frequency. Which response by the nurse is best?
1. "Unless you have pain with urination, we don't need to worry about it." 2. "These symptoms usually mean the baby's head has descended further." 3. "Come in for an appointment today and we'll check everything out." 4. "This might indicate that the baby is no longer in a head-down position."
A client who suffers from frequent calf muscle cramping asks the nurse about using nonprescription capsaicin for pain relief. What information should the nurse provide this client?
1. Capsaicin is seldom effective in the treatment of cramping in calf muscles. 2. The client should plan to use the medication two times each day. 3. This medication should be taken with a full glass of water. 4. The client should wear gloves when handling this medication.