The nurse is caring for a patient with acute pancreatitis experiencing pain. Which of the following would be indicated for this patient?
1. administer morphine as prescribed
2. administer Demerol as prescribed
3. administer NSAIDs as prescribed
4. administer acetaminophen as prescribed
1
Rationale: Since acute pancreatitis is extremely painful, pain control is needed for comfort and to decrease the secretion of pancreatic enzymes. Fentanyl, morphine, and hydromorphone are effective pain relievers for patients with acute pancreatitis. The nurse should administer morphine as prescribed. Meperidine (Demerol) is not considered a drug of choice as the risk of reducing the seizure threshold as doses increase outweighs the benefits. The pain of acute pancreatitis needs something stronger than a NSAIDs or acetaminophen.
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A) Giving discharge instructions B) Performing initial shift assessments C) Observing family dynamics D) Monitoring patients for complications
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A. Indicate that he/she will return at another time and leave the home. B. Ask the man to stop immediately and stress that the nurse cannot return if they are going to engage in illegal behavior while the nurse is there. C. Call the police immediately, report the illegal behavior, and agree to serve as a witness if the case goes to trial. D. Leave immediately and refuse to come back until all illegal drugs are out of the apartment.
A client asks the nurse which prescriptions are commonly used to treat insomnia. Which pharmacological agents should the nurse discuss with the client?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Diphenhydramine (Benadryl) B. Valerian root C. Ramelteon (Rozerem) D. Flurazepam (Dalmane) E. Zolpidem (Ambien)
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