The nurse is determining equivalent doses of pain medication for a patient. Which dose is equivalent to a 10-mg dose of subcutaneous morphine? (Select all that apply.)
a. 5 mg IV morphine
b. 10 mg IV morphine
c. 25 mg IM morphine
d. 15 mg IM morphine
e. 30 mg oral morphine
f. 10 mg oral morphine
ANS: B, E
Because oral morphine is partially metabolized before it binds to receptors, it takes a higher dose to achieve the same pain relief as a smaller IV dose. The conversion factor for converting parenteral morphine to oral doses of morphine is 3, so three times more medication is equivalent in oral form. All forms of parenteral narcotic are equivalent, so 10 mg subcutaneous morphine is equivalent to 10 mg of morphine given IV or IM. A. F. This is not enough medication. C. D. This would be too much medication.
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A nurse manager is conducting an annual performance of a registered nurse. The appraisal listed several areas for improvement. The manager and the nurse discuss methods in which the nurse can improve performance
Which action would be appropriate at this time? 1. Reschedule the annual appraisal. 2. Set a follow-up date to reevaluate the nurse?s performance. 3. Set a follow-up appointment in which the nurse?s peers evaluate the nurse?s performance. 4. Have the human resources department conduct the appraisal.
Which explanation best describes why perfectionism is considered a self-defeating behavior?
a. Perfection is impossible to attain, and therefore constantly falling short of perfec-tion leads to negative feelings and beliefs about oneself. b. Perfection is the ultimate goal, and it is not a self-defeating behavior to demand it of oneself. c. Perfectionism is the only means by which we can truly improve. d. Perfectionism is a character flaw and cannot be addressed.
The nurse is participating in a local health fair where he is assessing patients' mouths for signs of oral cancer. What is most characteristic of oral cancer in its early stages?
A) Dull pain radiating to the ears and teeth B) Presence of a painless sore with raised edges C) Areas of tenderness that make chewing difficult D) Diffuse inflammation of the buccal mucosa
A nurse is studying anthropology in the humanities class that he is taking in school. In his nursing studies, he is also reviewing transculturalism as it applies to nursing
Which of the following transcultural principles includes idiosyncratic practices of a particular cultural group? A) Culture-universal care B) Culture-specific care C) Care D) Multicultural care