The nurse is completing a home care visit of an 86-year-old client. The client has been taking narcotic medication for the treatment of chronic pain from rectal cancer
The client reports a need to take twice as much pain medication for abdominal pain over the past 24 hours. The nurse interprets this report by the client as
A) a need for the client's medication to be changed because of tolerance of opioids.
B) not an unusual finding and the client should continue to adjust the medication as needed.
C) a sign that there may be underlying issues that the client needs to have evaluated by a clinician.
D) a need for the client to try alternative methods for pain relief instead of pain medication.
C
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A nurse prepares to assess the emotional state of a client with end-stage pancreatic cancer. Which action should the nurse take first?
a. Bring the client to a quiet room for privacy. b. Pull up a chair and sit next to the client's bed. c. Determine whether the client feels like talking about his or her feelings. d. Review the health care provider's notes about the prognosis for the client.
A client is asks the nurse about an over-the-counter (OTC) topical corticosteroid for skin pruritis. The nurse would recommend which of the following:
a. hydrocortisone c. dexamethasone (Decadron) b. prednisone (Deltasone) d. methylprednisolone
The frustration of caring for a patient who displays maladaptive social responses such as manipulation, impulsivity, and self-mutilation can be most effectively managed when staff members:
a. focus on patient strengths. b. are watchful about patient limits. c. rely on the milieu to prompt responsible behavior. d. are experienced enough to ignore feelings of frustration.
The Americans with Disabilities Act of 1990 protects individuals with which of the following disorders?
a. Depression b. Gender identity disorder c. Dyslexia d. Psychoactive substance abuse