The nurse is caring for a client who is experiencing severe pain and is insistent about "getting some relief quickly." Which of the following prescriptions is most likely to produce the quickest pain relief?
1. Percodan orally
2. Lidocaine topically
3. Demerol intramuscularly
4. Morphine sulfate intravenously
ANS: 4
Each route of medication administration has a different rate of absorption. When applying medi-cations on the skin, absorption is slow because of the physical makeup of the skin. Medications placed on the mucous membranes and respiratory airways are quickly absorbed because these tissues contain many blood vessels. Because orally administered medications pass through the gastrointestinal tract, the overall rate of absorption is usually slow. Intravenous (IV) injection produces the most rapid absorption because medications are immediately available when they enter the systemic circulation.
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The nurse assesses assigned patients and determines which patient is at highest risk for altered skin integrity?
a. Young adult in traction who has a low-protein diet and dehydration b. Elderly patient diagnosed with well-controlled type 2 diabetes c. Middle-aged adult with metabolic syndrome taking antihypertensives d. Adolescent in bed with influenza having periods of high fever and diaphoresis
When assessing the abdomen, how long must the nurse listen to the abdomen to be able to accurately chart that bowel sounds are absent?
a. 30 seconds in each quadrant c. 3 minutes b. 1 minute d. 5 minutes
"Disturbed Energy Field" is recognized as a diagnostic domain by the North American Nursing Diagnosis Association (NANDA)
Indicate whether the statement is true or false
A patient has an order for cyclosporine
(Sandimmune). The nurse finds that cyclosporine-modified (Neoral) is available in the automated medication cabinet. Which action by the nurse is correct? a. Hold the dose until the prescriber makes rounds. b. Give the cyclosporine-modified drug. c. Double-check the order, and then give the cyclosporine-modified drug. d. Notify the pharmacy to obtain the Sandimmune form of the drug.