Your client receives analgesics on an as-needed basis rather than on a schedule. Your client's pain is continuous, and the client's prescribed medication is inadequate to manage total pain needs
The client requests medication frequently, asks for a specific medication by name, and demonstrates behaviors to persuade you that the client's pain is both real and severe. This client is most likely suffering from which of the following?
1. tolerance
2. psychological dependence
3. physical dependence
4. pseudoaddiction
ANS: 4
You might also like to view...
The client was recently admitted to the hospital with left lower quadrant pain. The client states, "It feels like my belly is cramping." During the focused interview, the client admitted to experiencing a significant amount of occupational stress
Guarding is noted during the abdominal examination. The nurse reviews the medical record (see chart below) and concludes that the client has developed a diverticulitis. Which client statement supports this conclusion by the nurse? Assessment or diagnostic test Results White blood cell count 25,000/mm3 Red blood cell count 4.2 x 1012/L Temperature 101.2 degrees Fahrenheit Blood pressure 152/84 1. "I get home so late at night, but I've got to stop lying down right after dinner." 2. "I drink a whole pot of coffee every day." 3. "I drink 9-12 beers after I get home from work, every day." 4. "We have been growing green beans in our garden and I think I ate too many the other day."
Before administration of contrast media, the nurse should assess if the patient:
a. has been NPO. b. is allergic to iodine. c. has emptied the bladder. d. has taken medication.
A nurse is caring for a patient who is postoperative day 1 following neck dissection surgery
The nurse is performing an assessment of the patient and notes the presence of high-pitched adventitious sounds over the patient's trachea on auscultation. The patient's oxygen saturation is 90% by pulse oximetry with a respiratory rate of 31 breaths per minute. What is the nurse's most appropriate action? A) Encourage the patient to perform deep breathing and coughing exercises hourly. B) Reposition the patient into a prone or semi-Fowler's position and apply supplementary oxygen by nasal cannula. C) Activate the emergency response system. D) Report this finding promptly to the physician and remain with the patient.
The family of a mechanically ventilated patient receiving a chest tube asks why the tube is necessary. What is the nurse's most accurate response?
1. "The chest tube helps to decompress the lung and prevents further complications.". 2. "The chest tube helps the patient breathe more easily when on a ventilator.". 3. "The chest tube is an elective procedure that many physicians like to perform.". 4. "The chest tube is required to provide PEEP to the patient.".