A nurse is caring for a middle-aged client with acute abdominal pain at a health care facility. The physician has ordered a regimen of narcotics but the client is unable to take the medication orally due to a tracheostomy
What other delivery route might the physician prescribe? A) Sublingual route
B) Inhaled route
C) Dermal route
D) Transdermal route
D
Feedback:
Opioids are available for administration by the transdermal, oral, rectal, or parenteral route. Dermal, inhaled, and sublingual administration are not typically used for opioids.
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The nurse is reviewing the results of a literature search and wants to determine the strength of the evidence. In which order, from strongest to weakest, should the nurse analyze this data?
1. Single, well-conducted clinical trials 2. Single descriptive or qualitative study 3. Expert opinion of authorities or committees 4. Single correlational study or observational studies 5. Systematic reviews of randomized and nonrandomized trials 6. Systematic review of descriptive studies including qualitative 7. Systematic review of correlational studies or observational studies
A factory night shift worker tells the industrial nurse that he is having trouble getting to sleep when
he goes home after a night's work. He mentions that he has a hearty breakfast and a few cups of coffee, reads the paper, does his exercises, and then goes to bed and lies awake until it is nearly time to get up to be with his family at dinner. What change should the nurse suggest? (More than one answer may be correct.) A. Drink decaffeinated coffee after 3 AM. B. Do not read the paper. C. Exercise after awakening. D. Eat a light breakfast.
A patient with a head injury should not receive a narcotic agonist because:
1. the patient will not be able to talk. 2. the drug makes the patient too hyperactive. 3. addiction is easy at this point. 4. the drug causes a confusing effect.
The nurse makes a medication error and a patient dies. In court, the attorney for the family of the deceased patient asks the nurse if she followed standards of care in administering the medication. How would the attorney phrase this question?
1. "Did you follow agency guidelines as in previous circumstances?" 2. "Did you follow the physician's orders and double-check them before administration?" 3. "Did you do the three checks and follow the five rights as taught in school?" 4. "Did you do what another nurse would have done under similar circumstances?"