The nurse is caring for four frail patients with pain. Which patient's pain medication prescription does the nurse question?
a. The patient taking pentazocine (Talwin)
b. The patient taking acetaminophen (Tyle-nol)
c. The patient taking ibuprofen (Motrin)
d. The patient taking hydromorphone (Di-laudid)
A
Talwin should not be used in frail older people because it leads to central nervous system ex-citement, confusion, and agitation. The other drugs are appropriate choices.
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You are doing patient teaching for Margaret, who has been prescribed amitriptyline (Elavil) for treatment of depression. Which of the following statements suggests that Margaret needs further instruction?
A. "I know I might not start feeling better for a few weeks, but I'll keep taking the medication just as the doctor prescribed." B. "I'll keep some hard candies in my purse in case my mouth gets dry from the medicine." C. "Once I start feeling better, I'm looking forward to cutting down on this medication." D. "I'm worried I may gain some weight, but that's a small price to pay for feeling better."
A patient is being monitored by continuous ECG after placement of a transvenous pacemaker. "Loss of capture" is seen on the ECG. Which nursing intervention may correct this situation?
a. Position the patient on the left side. b. Decrease the milliamperes as ordered. c. Increase the rate as ordered. d. Monitor the patient in a different lead.
A client with a hip fracture is experiencing muscle spasms. The nurse anticipates that the following type of traction may be utilized preoperatively to reduce the spasms:
A) skeletal traction B) manual traction C) Buck's traction D) balanced suspension traction
The nurse is preparing a teaching tool on sleep disorders. Which disorder should the nurse include that is most likely to cause significant disruption to a patient's employment?
1. Insomnia 2. Narcolepsy 3. Restless legs syndrome 4. Breathing-related sleep disorders