An older patient recovering from surgery is prescribed morphine sulfate 2 to 6 mg every 4 hours prn for pain. What approach will the nurse take to manage this patient's pain?
1. Administer the lowest dose of 2 mg.
2. Administer the highest dose of 6 mg.
3. Avoid the narcotic for risk of addiction.
4. Administer the dose only when the patient asks for the medication.
1
Rationale: Older patients usually have more sensitivity to opioid analgesics, and most often these patients are started on smaller doses to avoid toxicity. The dose is then titrated upward until effective pain relief is achieved without adverse effects.
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The nurse is caring for a client with peptic ulcer disease. Which assessment finding indicates to the nurse that the client most likely has an ulcer in the stomach rather than in the duodenum?
a. Body mass index (BMI) is 16.6. b. Stool is positive for occult blood. c. Client has had four ulcers in the last 5 years. d. Hemoglobin is 13 g/dL and hematocrit is 42%.
Hypnotics also are referred to as antianxiety agents
Indicate whether the statement is true or false.
The most serious, potentially life-threatening reaction to a food allergen is
a. dermatitis. b. anaphylaxis. c. syncope (fainting). d. gastrointestinal bleeding.
The patient has been exposed to anthrax. What treatment will the nurse plan to administer?
1. Penicillin (Bicillin LA) and vancomycin (Vancocin). 2. Tetracycline (Sumycin) and erythromycin (Erythrocin). 3. Ampicillin (Principen) and cefepime (Maxipime). 4. Ciprofloxacin (Cipro) and doxycycline (Vibramycin).