A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she received when she had a total knee replacement. Which of the following should the nurse respond to this client?
1. "You don't need something that strong."
2. "That medication does not exist anymore."
3. "That medication does not last very long."
4. "It can cause you have high blood pressure."
3
Meperidine is no longer a major drug for acute or chronic pain due to its short analgesic duration of 2 to 3 hours and the potential for accumulative toxic effects of its metabolite, normeperidine. The best response for the nurse to make to the client would be "that medication does not last very long." The other responses are inaccurate.
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The nurse should withhold the hypnotic drug if assessment reveals which of the following? Select all that apply
A) Respiratory rate is below 10 breaths/min. B) Blood glucose is above 200 mg/dL. C) The client appears lethargic. D) Blood pressure drops significantly. E) The client is having trouble sleeping.
A long term care facility has selected sleep promotion as its quality improvement project. Which of the following interventions would be appropriate to implement on this unit? (Select all that ap-ply.)
a. Ensuring that all residents receive evening care and are in bed by 8:00 PM b. Taking as many residents as possible out-side for 30 minutes daily c. Instituting quiet time (keep noise down, speak in hushed tones, no overhead pag-ing) between 9:00 PM and 6:00 AM d. Avoiding waking residents for routine care during the night e. Limiting caffeine and fluids before bed-time
When focusing on family interrelationships and the impact a serious health alteration has on individual family members and the equilibrium of the family system, the nurse should use
a. equifinality. b. diffuse boundaries. c. circular questions. d. morphostasis.
The nurse is developing plan of care for a client with necrotizing fasciitis. One of the outcomes should be to prevent worsening of the infection
An appropriate question for nurse to ask when collecting subjective data during the assessment would be: 1. Where are the lesions located? 2. Do you have edema? 3. How active are you physically? 4. Is your pain constant or intermittent?