A home health client has been taking 50 mg of meperidine, a narcotic analgesic, every 4 hours for pain. Which of the following statements made by a nurse to the client's physician indicates a need for further education on narcotics?
a. "You need to decrease the time interval between doses to every 3 hours so that my client will maintain pain relief."
b. "You need to discontinue that order before my client becomes addicted."
c. "You need to increase the meperidine so that my client will achieve adequate pain relief."
d. "You need to give my client something in addition to the meperidine."
ANS: B
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The nurse plans care for older adults who are in good health but isolated from their fami-lies. If the nurse's goal is to move the adults toward gerotranscendence, which interven-tion should the nurse use in the plan of care?
a. Give a daily tea party for the group. b. Call each family to encourage visiting. c. Assist them to resume midlife patterns. d. Help each person with individual activities.
A nurse is providing discharge instructions to a patient who is taking atenolol (Tenormin) to treat hypertension. What would the nurse teach the patient regarding a possible drug–drug interaction?
A) Antibiotics B) Oral contraceptives C) Nonsteroidal anti-inflammatory drugs (NSAIDs) D) Antifungal agents
The patient is 38 years old and is in her second postoperative day after placement of an intramedullary rod in her left femur. She is receiving analgesia via a patient-controlled analgesia (PCA) device
The inappropriate intervention related to caring for a patient with a PCA is: a. Maintaining the system. b. Recording activations of the system. c. Administering the analgesia to the patient. d. Monitoring the patient's pain.
An 85-year-old patient experiences urinary incontinence. The nurse is aware that:
A) Antispasmodics are often prescribed to decrease urinary incontinence. B) Restricting fluid intake is recommended. C) Reflux incontinence is common in the elderly. D) Urinary incontinence is not a consequence of aging.