During shift report, the night nurse reports that a terminally ill child has developed tolerance to the prescribed morphine. Which concept should the nurse use when planning care for this child?

1. The child is physically dependent on morphine.
2. The child is addicted to morphine.
3. The child is showing physical signs of withdrawal.
4. The child will need more medication to achieve the same effect.


4
Explanation:
1. While the child may be physically dependent, this is not the meaning of tolerance.
2. Addiction refers to a compulsive use of a substance despite harm. This is not the definition of tolerance.
3. Withdrawal occurs when the opioid is stopped suddenly. This is not the meaning of tolerance.
4. Tolerance occurs when the body has become accustomed to the presence of the drug in the system. When this happens, the child will need more of a drug or a stronger drug to get the same effect.

Nursing

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Which of the following statements best describes how normal voluntary urination occurs?

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The client is alert, awake, and cooperative for NGT insertion. Which does the nurse use for client instruction to prepare for the procedure?

1. Sit upright and lean back slightly. 2. Stay in left lateral Sims' position. 3. Lean forward on the bedside table. 4. Take a position that is comfortable.

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Mr. Sanderson is hospitalized on a psychiatric unit secondary to a suicide attempt. He has been diagnosed with depression. He has been consistently depressed. Which of the following observations would signal the nurse that Mr

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A 47-year-old male has been exposed to fiberglass in the past treated for an allergic reaction. Now comes to the hospital with anaphylactic reaction in respiratory distress. Which type of immune response is this patient experiencing?

a. Primary b. Secondary c. Type IV hypersensitivity d. None of the above?

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