The nurse is caring for a client who is having a sickle cell crisis. Which order for analgesia should the nurse consult with the physician?
A) Meperedine (Demerol)
B) Morphine sulfate
C) Sublimaze (Fentanyl)
D) Buprenorphine (Buprenex)
A
Feedback:
Consult the physician if meperidine (Demerol) is prescribed for treating pain in clients with sickle cell crisis. The liver converts meperidine to normeperidine, which is toxic. Grand mal seizures can result. The other medications are acceptable alternatives to Demerol.
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The nurse has administered a scheduled dose of phenylephrine to a patient. The nurse would recognize that a therapeutic effect has been achieved by which of the following assessment findings?
A) The cornea can be manipulated without causing the patient to blink. B) The patient acknowledges an improvement in visual acuity. C) The patient's pupils neither dilate nor constrict in response to light. D) The inner aspect of the patient's eye can be visualized.
Which of the following demonstrates giving information versus opinion?
a. "Mrs. Khan, let's practice together the breathing techniques you learned in Lamaze classes. That will help us to work together more effectively later when your labor is stronger." b. "You learned breathing techniques in Lamaze classes. I really believe the breathing techniques make labor easier." c. "Mrs. Khan, have you been practicing the breathing techniques you learned? It is very important to practice if you wish to use them effectively in labor." d. "Using breathing techniques in labor is really to your benefit because you feel in control."
A patient, taking NSAIDs for osteoarthritis, is admitted with acute erosive gastritis caused by alcohol ingestion. Which of the following would be a priority for this patient?
1. assess what other pain control measures help with the arthritis 2. suggest opioids be used for arthritis pain control 3. encourage alcohol consumption with meals 4. instruct to avoid alcohol with NSAIDs use
Which situation is an example of a non-normative life event?
a. Adoption of a child b. Loss of a job c. Marriage of a child d. Retirement from work