A home care client who is taking morphine for pain management abruptly stops taking the medication. Which symptom would indicate physical dependence?
a. Abdominal cramping
b. Craving for morphine
c. Decreased heart rate
d. Elevated temperature
A
Physiologic dependence on opioids such as morphine allows tissues to adapt to their presence. When opioids are suddenly removed, the dependent tissues stimulate an autonomic nervous sys-tem response that includes nausea and vomiting, abdominal cramping, muscle twitching, profuse perspiration, delirium, and convulsions.
You might also like to view...
A nurse works a great deal with refugees and is frustrated because, as a group, they don't seem to want to implement desired health behaviors. What action by the nurse would be most helpful?
A. Conduct a health screening and educational event each month. B. Provide written information in the group's native language. C. Teach selected group representatives to be lay health educators. D. Try to establish relationships within the refugee community.
A nurse administered the wrong dose of insulin to an assigned patient after bypassing the facility policy to have insulin doses double checked
The patient's blood glucose level remained within normal limits afterward, and the physician was notified per protocol. The patient and family were extremely upset and demanded to be moved to another floor. Later, the patient filed a malpractice suit against the hospital. The nurse lawyer reviewing the case would conclude that a. malpractice occurred because the patient had emotional distress. b. malpractice occurred because the nurse didn't follow the policy. c. no malpractice occurred because most nurses don't verify insulin. d. no malpractice occurred because there were no actual damages.
The nurse is caring for a client with pneumonia and has obtained the following vital signs:
Temperature 101.2 ºF (oral), BP 100/70, pulse rate 110/min., and respirations 22. The client's oxygen saturation level is 96%. Based on these findings, which order requires further clarification? 1. Administer acetaminophen (Tylenol) 650 mg every 4 hours prn temperature greater than 100.5 ºF. 2. Administer intravenous (IV) fluids: 0.9% Normal Saline Solution at 125 ml/hour. 3. Start oxygen therapy at 3L/minute via nasal cannula. 4. Send for chest x-ray.
The nurse is providing care to a client who returns to the medical-surgical unit after herniated disk surgery
The client's HR is 100, RR 22, BP 130/86 mmHg, temperature 98.8 degrees F, and a pain rating of 7 on a scale of 1 to 10. Which nursing diagnosis is the priority for this client based on the assessment data? A) Impaired Physical Mobility B) Acute Pain C) Activity Intolerance D) Chronic Pain