The nurse caring for a 74-year-old man who has just returned to the surgical unit following surgery for a total knee replacement received report from the PACU
Part of the report had been passed on from the preoperative assessment, in which the patient stated that he has "gotten confused" in the past when he takes pain medications. The nurse should recognize which of the following principles of pain management among older adults?
A) The elderly may require lower doses of medication and are easily confused with new medications.
B) The elderly may have altered absorption and metabolism, which prohibits the use of opioids.
C) The elderly may be confused following surgery, a fact that is related to normal aging and unrelated to the medication.
D) The elderly may require a higher initial dose of pain medication followed by a tapered dose.
A
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Which threat to external validity is controlled for in a double-blind experimental study?
1. Rosenthal Effect. 2. Hawthorne Effect. 3. Experimenter Effect. 4. Measurement Effect.
A nurse assesses the lower extremities of an older adult and notes a small ulcer between the per-son's great toe and second toe
The ulcer has well-defined edges and there is no bleeding; however, there is a small amount of necrotic tissue present. This wound is most likely a(n): a. venous ulcer. b. arterial ulcer. c. pressure ulcer d. surgical wound.
A patient presents to the emergency department complaining of "just not feeling good." The patient's temperature is within normal limits. On assessment the nurse notes weakness, hypotension, and increased heart rate
What would the nurse expect the diagnosis for this patient to be? A) Heat stroke B) Dehydration C) Fluid volume loss D) Heat exhaustion
An older client living at home with cancer reports having to take twice as much pain medication over the last 24 hours. What should the nurse do with this information?
1. Double the current dose of narcotic pain medication. 2. Discuss options to prevent and treat breakthrough pain. 3. Use non-pharmacological methods for pain relief instead of pain medication. 4. Advocate for a medication change because the client has opioid tolerance.