A 75-year-old man is being treated as an outpatient for metastatic prostate cancer. Which of the following statements is true regarding the management of pain with opioids in the elderly?
a. Opioids with a long half-life such as methadone are a good choice, because they stay in the system longer and patients do not have to remember to take multiple pills.
b. Serum creatinine is the best measurement of renal function in the elderly and should be done prior to the initiation of treatment with opioids.
c. Renal clearance of medications is faster in the elderly, so higher dosages of medications are needed to adequately control pain.
d. None of the above
ANS: D
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A 59-year-old patient has been diagnosed with prostatitis and is being seen at the clinic for complaints of burning and pain during urination. He is experiencing:
a. Dysuria. b. Nocturia. c. Polyuria. d. Hematuria.
A client has begun phenothiazine therapy. What teaching should the nurse provide related to the
drug's strong dopaminergic effect? a. Chew sugarless gum b. Eat plenty of roughage c. Arise slowly from bed d. Report muscle stiffness
A meta-analysis comparing the effectiveness of female and male leaders found all of these except
a. Overall, women and men were equally effective leaders. b. Women and men were more effective in leadership roles congruent with their gender. c. Men were more effective than women in government and education organizations. d. Women led in a more democratic style than men.
Which of the following statements most accurately describes capillary puncture blood?
a.) a mix of venous, arterial and capillary blood b.) mostly tissue fluid mixed with arterial blood c.) mostly venous blood mixed with tissue fluid d.) nearly identical to a venous blood specimen