A nurse has called an elderly patient's surgeon to question the order for meperidine hydrochloride (Demerol) for pain control
The nurse's action is prompted by the possibility of what adverse effect associated with the use of Demerol in older adults? A) Confusion
B) Blood dyscrasias
C) Gastrointestinal bleeding
D) Hepatotoxicity
A
Feedback:
Demerol is associated with confusion in older adults. It is not noted to cause blood dyscrasias, GI bleeding, or hepatotoxicity.
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A nurse plans care for a client who is immobile. Which interventions should the nurse include in this client's plan of care to prevent pressure sores? (Select all that apply.)
a. Place a small pillow between bony surfaces. b. Elevate the head of the bed to 45 degrees. c. Limit fluids and proteins in the diet. d. Use a lift sheet to assist with re-positioning. e. Re-position the client who is in a chair every 2 hours. f. Keep the client's heels off the bed surfaces. g. Use a rubber ring to decrease sacral pressure when up in the chair.
Which pathologic description of a tumor should the nurse interpret as a "very malignant" or "high-grade" cancer?
A. Undifferentiated; mitotic index = 50% B. Poorly differentiated; mitotic index = 40% C. Moderately differentiated; mitotic index = 50% D. Highly differentiated; mitotic index = 10%
New parents decide not to have their newborn circumcised. What should the nurse teach regarding care for the uncircumcised infant?
1. The foreskin will be retractable at 2 months. 2. Retract the foreskin and clean thoroughly. 3. Avoid retracting the foreskin. 4. Use soap and Betadine to cleanse the penis daily.
A 58-year-old patient has been receiving leuprolide as treatment for prostate cancer. The clinician should instruct the patient about which of these side effects of the medication?
a. Risk of osteoporosis c. May have impotence b. May have hot flushes d. All of the above