The nurse is caring for a cancer patient with ongoing pain from widespread metastasis to her bones. The nurse notes that the patient's morphine dosage had to be increased to sufficiently manage her discomfort
What is the nurse's interpretation of this assessment finding?
a.
The patient became tolerant to the previous morphine dosage.
b.
The patient is becoming addicted to her pain medication.
c.
The patient has been abusing her prescribed pain medications.
d.
The patient is seeking to end her life with an overdose of morphine.
ANS: A
The patient is requiring higher doses of narcotic pain medication because her body has become tolerant to the medication. This is common when patients require long-term pain medication. Since the patient is taking morphine to control ongoing pain, the patient is not addicted to it. Need for increased morphine dosage is not indicative of drug abuse or a wish to end her life.
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The nurse is caring for a patient with Alzheimer disease and anticipates an order for which medication that may help delay the rate of cognitive decline?
1. Donepezil (Aricept) 2. Quetiapine (Seroquel) 3. Valproic acid (Depakote) 4. Escitalopram (Lexapro)
Which term best describes the functional capabilities of various organ systems in the body?
a. Psychologic age b. Social age c. Biologic age d. Chronologic age
The nurse is evaluating research studies according to the GRADE criteria and has
determined the quality of evidence on the subject is moderate. Which type of evidence does this determination indicate? a. Strong evidence from unbiased observational studies b. Evidence from randomized clinical trials showed inconsistent results c. Consistent evidence from well-performed randomized clinical trials d. Evidence for at least one critical outcome from randomized clinical trials had serious flaws
The nurse reviews nutritional requirements with a breastfeeding mother who is concerned that her milk production has decreased. Which statement indicates that further teaching is required?
1. "I have started cutting back on my protein intake." 2. "At least 3 times a day, I drink a glass of milk." 3. "I am drinking a minimum of 8 to 10 glasses of liquid a day." 4. "I try to take a nap in the morning and afternoon when the baby is sleeping."