A hospice patient has been receiving oral pain medication for several weeks. The patient started with 4 mg of the drug, and each week has had to increase the amount by 2–3 mg to obtain adequate pain relief. The nurse recognizes that the patient
1. has developed immunity to the drug.
2. has developed a tolerance to the drug.
3. has developed a physiologic addiction to the drug.
4. has developed a psychological addiction to the drug.
2
Rationale 1: Drug immunity is more appropriately used when discussing the immune system.
Rationale 2: Drug tolerance occurs when the body adapts to a substance after repeated administration.
Rationale 3: Although addictions are possible, the situation presented best describes drug tolerance, not addiction.
Rationale 4: Although addictions are possible, the situation presented best describes drug tolerance, not addiction.
Global Rationale: Drug tolerance occurs when the body adapts to a substance after repeated administration. Although addictions are possible, the situation presented best describes drug tolerance, not addiction. Drug immunity is a term that is often confused with drug tolerance. Drug immunity is more appropriately used when discussing the immune system.
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A client is in the preoperative holding area prior to surgery. The nurse notes that the client has allergies to avocados and strawberries. What action by the nurse is best?
a. Assess that the client has been NPO as directed. b. Communicate this information with dietary staff. c. Document the information in the client's chart. d. Ensure the information is relayed to the surgical team.
You are preparing discharge teaching for a patient who is being discharged after a hospitalization for a hemorrhagic stroke. What should be included in the discharge teaching for this patient?
A) Intermittent seizures can be expected. B) Take ibuprofen for complaints of a serious headache. C) Take antihypertensive medication as ordered. D) Drowsiness is normal for the first week after discharge.
A patient is taking a combination of antiviral
drugs as treatment for early stages of a viral infection. While discussing the drug therapy, the patient asks the nurse if the drugs will kill the virus. When answering, the nurse keeps in mind which fact about antiviral drugs? a. They are given for palliative reasons only. b. They will be effective as long as the patient is not exposed to the virus again. c. They can be given in large enough doses to eradicate the virus without harming the body's healthy cells. d. They may also kill healthy cells while killing viruses.
Capillary puncture supplies include all of the followinf except:
a.) gauze pad b.) lancet c.) microcollection d.) providone-iodine pad