The nurse administers morphine sulfate, but the family is worried about the patient and thinks that this drug is too strong and will cause harm. The nurse assures the family that opioid analgesia is:
1. generally used for mild to moderate pain.
2. generally used for blocking pain at the central nervous system level.
3. used to block pain during cell wall synthesis.
4. used when nonopioids do not work.
2
When nonopioid analgesia does not work, or it is known that the pain is severe, opioids such as morphine are used.
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Which of the following is a true statement about sleeping in older adults?
a. Older adults tend to fall asleep quickly but are awakened throughout the night. b. Sleep disturbances in the older adult can be caused by cardiovascular disease, arth-ritis, or diabetes. c. Benzodiazepine agents are the medica-tions of choice for sleep disorders. d. Selective serotonin-reuptake inhibitors (SSRIs) can alleviate sleep disturbances caused by depression.
A nurse administering carbidopa/levodopa (Sinemet) to a client should monitor the client for decreased effects of carbidopa/levodopa when which of the following medications are initiated? Select all that apply
A) Phenytoin (Dilantin) B) Amitriptyline (Elavil) C) Zonisamide (Zonegran) D) Ibuprofen (Motrin) E) Meperidine (Demerol)
When working on a nursing unit, the nurse recognizes that incomplete communication errors most often occur during
a. staff meetings. b. the night shift. c. a handoff procedure. d. medication administration.
The nurse is administering prescribed medication to an elderly client who tells the nurse that "this is not the color of the pill I normally take." What action should the nurse take in this situation?
A) Recheck the MAR, order, and medication prior to dispensing it. B) Administer the pill; explain to the client that generic drugs come in different colors. C) Call the patient's prescribing healthcare practitioner to confirm the order. D) Document the conversation in the patient record and do not administer the pill.