The safest opioid analgesic choice for an older patient who has severe acute pain is which of the following?
a. Meperidine (De-merol) c. Morphine sulfate (Morphine)
b. Pentazocine (Tal-win) d. Safe opioids do not exist.
C
Morphine sulfate (Morphine), oxycodone (Oxycontin), hydrocodone (Hycodan), hydromorphone (Dilaudid), and fentanyl (Sublimaze) are opioids that can be safely used with older patients. Me-peridine and pentazocine are both contraindicated for older adults because their metabolites can produce confusion, psychotic behavior, and seizures. Used properly, opioids have a lower risk of certain side effects than nonsteroidal antiinflammatory agents (NSAIDs).
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A diabetic client is being screened for tuberculosis. The nurse administers the tuberculin skin test. Instructions related to the skin test should include:
1. The client must return within 24 to 36 hours to have the test assessed. 2. A positive reaction to the skin test is based upon redness around the injection site. 3. An induration area of 15 mm or greater is significant in this client. 4. An induration area of 10 mm or more is considered positive in this client.
What does the RN need to remember when delegating to unlicensed assistive personnel (NAP)?
A) Can safely assume that the employee has at least a high school diploma as a minimum hiring criterion B) Should be aware that all unlicensed assistive personnel have achieved at least minimum standardized training pursuant to the Omnibus Budget Reconciliation Act of 1987 C) Should be aware that no federal or community standards have been established for training the broad classification of NAP D) Is protected from liability if the RN allows the NAP to perform only those tasks the employee states he or she is capable of completing independently
The same amount of alcohol is more concentrated and more toxic to women than to men
Indicate whether the statement is true or false
Which of the following arteries is most commonly used to obtain a blood pressure reading?
A) Femoral B) Radial C) Ulnar D) Brachial