A patient with renal insufficiency is being changed from morphine sulfate to hydromorphone (Dilaudid) opiod analgesics for pain control. What is essential for the nurse to recognize as the patient changes medications?
a. The dose of the new medication should be increased for the same effect.
b. The new medication is significantly more potent and requires a reduced dose.
c. These drugs are extremely similar and only the frequency will be increased.
d. Renal impairment will increase toxic metabolites with the new drug.
Answer: b. The new medication is significantly more potent and requires a reduced dose.
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A 5-year-old child was admitted for a diagnosis of meningitis with a fever of 104.5° F and nuchal rigidity. She responded to antipyretics that were ordered
In addition, the patient's mother was asked to help reduce the fever by limiting the number of blankets covering the patient. After interventions, the child's temperature is 100.5° F. The nurse recognized that the mother has an understanding of the patient's condition when she states which of the following? a. "The high temperature is useful in fighting bacteria and viruses as long as it's not too high." b. "You need to get her temperature down quickly. She's so uncomfortable." c. "Her fever is dropping because she is shi-vering. She must be cold." d. "She probably picked up a bacteria. That's what kids do. That's why they get in-fected."
A client with peripheral vascular disease (PVD) is experiencing pain. Which nursing intervention addresses the client's pain?
A) Elevate legs in bed with pillows under the knees. B) Keep the extremities warm with blankets. C) Encourage to ambulate and stand on legs 4 times each day. D) Apply cool compresses to the extremities.
The nurse is helping a client review a prescription from the health care provider. When examining the prescription, which of the following would the nurse expect to find documented? Select all that apply
A) Name of the drug B) Dosage of the drug C) Route of drug administration D) Times of drug administration E) Licensed prescriber's signature
The nurse assesses a client and finds that a grating sound is present when a joint is bent and straightened. The nurse would correctly document this finding as which of the following?
1. Subluxation 2. Grinding 3. Crepitation 4. Joint dislocation