A patient tells you that the usual dose of an opioid drug for cancer pain no longer relieves the pain. What is your best response?
a. "We have to be careful about increasing opioid drug dosages to prevent drug addiction."
b. "You may be developing dependence on the drug and that is why it no longer relieves your pain."
c. "Your body may be adjusting to the drug, eliminating it more rapidly, and thus you will need a higher dose to achieve pain relief."
d. "The danger of increasing your opioid drug dosage is that you may experience respiratory failure."
ANS: C
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A nurse is coaching a woman in labor in patterned breathing. To use the slow-paced breathing method, which instruction is best?
A. "Blow like you are blowing out a candle at the end of your breath." B. "I will count to 4 while you inhale and again when you exhale." C. "Take a deep cleansing breath when the contraction ends." D. "You need to breathe at half of your normal rate in this pattern."
The nurse is a primary care provider who is interested in focusing on pharmacoeconomics in his approach to patient care. Which statement describes pharmacoeconomics?
a. Pharmacoeconomics describes and analyzes the costs of drug therapy to health care systems and society; it is concerned with resource allocation and increased efficiency and profitability. b. Pharmacoeconomics determines the degree of drug effectiveness, which is done before seeking Food and Drug Administration (FDA) drug approval. c. Pharmacoeconomics provides direction in choosing the least expensive type of drug that will be effective. d. Pharmacoeconomics studies the trends in use of pharmaceutical products from a consumer perspective.
An older client with chronic renal failure and weekly dialysis has anemia. Which intervention is most important for the nurse to implement for this client?
1. Frequent blood pressure assessment 2. Erythropoietin injection 3. Administer ferrous sulfate orally 4. Monitor for hematuria
Within a culture, the world becomes predictable and coherent for its inhabitants. This predictability has been defined as
A) Habituation B) Normalization C) Stereotypical D) Desensitization