A client with severe pain from spinal stenosis is prescribed Methadone. The nurse realizes that the advantages of this medication are what? (Select all that apply.)
1. Decrease in the need for antidepressant adjuvant medication
2. Less frequent dosing schedule
3. Long half-life
4. Inexpensive
5. Can be used for intermittent pain
6. Does not cause respiratory depression
1, 2, 4
The advantages of methadone include that it decreases the need for antidepressant adjuvant medication because it increases the release of serotonin and norepinephrine, dosing is every 12 hours, and it is inexpensive. Disadvantages of this medication include: it has a long half-life; it cannot be used for intermittent pain management; and it does cause respiratory depression.
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During a health history, the nurse explores the sleeping habits of a 3-year-old boy by interviewing his parents. Which of the following statements from the parents reflects a recommended guideline for promoting healthy sleep in this age group?
A) "Our son sleeps through the night, and we insist that he takes two naps a day." B) "We keep a strict bedtime ritual for our son, which includes a bath and bedtime story." C) "Our son still sleeps in a crib because we feel it is the safest place for him at night." D) "Our son occasionally experiences night walking so we allow him to stay up later when this happens."
A teenage client explains that it is personally important to follow a vegan diet. Which of the following foods would the nurse not recommend to the client?
1. Eggs 2. Tofu 3. Rice milk 4. Peanut butter
Which patient has the least risk for unhealthy fat distribution?
a. The man whose triceps skinfold is at the 25th percentile b. The woman whose triceps skinfold is at the 72nd percentile c. The man whose waist circumference is 46 inches and hip circumference is 40 inches d. The woman whose waist circumference is 30 inches and hip circumference is 38 inches
The nurse adheres to the discharge standards set by The Joint Commission (TJC), which include that patients will receive instruction regarding which aspect(s) of care? (Select all that apply.)
a. Medications b. Rehabilitation techniques c. Referral to community agencies d. Medical equipment to be used e. Obtaining health insurance