The following medications are prescribed by the health care provider for a middle-aged patient who uses long-acting morphine (MS Contin) for chronic back pain, but still has ongoing pain
Which medication should the nurse question?
a. Morphine (Roxanol)
b. Pentazocine (Talwin)
c. Celecoxib (Celebrex)
d. Dexamethasone (Decadron)
ANS: B
Opioid agonist-antagonists can precipitate withdrawal if used in a patient who is physically dependent on mu agonist drugs such as morphine. The other medications are appropriate for the patient.
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In evaluating the effectiveness of an exercise program in an obese client, the nurse should expect the following outcomes:
A) reduced bone density. B) reduced insulin sensitivity. C) increased joint pain. D) enhanced feelings of well-being.
Which of the following could be a research question? (Select all that apply.)
a. What does postoperative vomiting feel like, to research subjects? b. How is hypnosis related to smoking cessation? c. In an English course, how do grading, praise, practice, submitting papers for publication, and writing skills interact? d. What are the differences between clients with pre-op orientation and those without, in terms of procedural anxiety? e. How does the researcher define loneliness?
The nurse is assessing a woman's risk for the development of a chronic disease. The patient reports ten years ago, she had scored very high on the Healthy Eating Index
Which of the following concepts about chronic disease prevention and the Healthy Eating Index is important for the nurse to understand? 1. Women can greatly reduce their risk for developing a chronic disease when they follow the USDA dietary guidelines. 2. A high score on the Healthy Eating Index indicates the woman was not following the USDA's dietary guidelines. 3. When compared to women, men can experience a more significant reduction in their risk for developing a chronic disease when they closely follow the USDA dietary guidelines. 4. Following the USDA dietary guidelines has been found to have no impact on reducing the risk of developing a chronic disease in men and women.
The nurse is concerned that a client receiving epinephrine is experiencing autonomic nervous system adverse effects when which items are found on assessment?
Standard Text: Select all that apply. 1. Tachycardia 2. Ventricular dysrhythmia 3. Elevated blood pressure 4. Elevated blood glucose level 5. Flaccid paralysis