Which patient would be at greatest risk for developing opioid dependence?
1. 24-year-old with sickle-cell anemia
2. 33-year-old with diabetes
3. 17-year-old with a broken arm
4. 75-year-old with congestive heart failure
1
Rationale 1: Sickle-cell anemia is a chronic and painful disorder and is often treated with opioids.
Rationale 2: Diabetes is a chronic disorder but is not typically managed with opioids.
Rationale 3: Broken bones are painful, and opioids may be used. However, broken bones and the associated pain are acute events.
Rationale 4: Congestive heart failure is a chronic disorder but is not typically managed with opioids.
Global Rationale: Sickle-cell anemia is a chronic and painful disorder and is often treated with opioids. Diabetes and congestive heart failure are chronic disorders but are not typically managed with opioids. Broken bones are painful, and opioids may be used. However, broken bones and the associated pain are acute events.
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A client, aged 75 years, has come to the clinic with a report of frequent headaches. Immediately after
introducing herself to the client at the outset of the interview, the nurse should a. ask if the client if can hear clearly as she speaks. b. initiate a neurological assessment to determine risk for stroke. c. obtain a medication order for the client's headache. d. suggest that the client lie down in a darkened room for a few minutes.
What two factors determine the portion of the heart that each lead "sees"?
What will be an ideal response?
The nurse is instructing a patient about MyPlate. Which will the nurse include in the teaching session with the patient?
1) It assists individuals in planning a well-balanced diet. 2) It recommends quantities of each nutritional food group for daily consumption. 3) It evaluates each individual's nutritional status. 4) All of the above.
The nurse has reinforced teaching with a patient after diagnostic testing reveals tinnitus. Which patient statement indicates that teaching has been effective?
a. "There is a toxic substance in my ear." b. "That is why I have so much discharge all of the time." c. "My ear pain should get better if I follow the doctor's orders." d. "The ringing sound I hear in my ear may be a symptom of another problem."