The nurse administers morphine for pain. When evaluating the effectiveness of the analgesic, the client says, "This time I didn't get the relief I've gotten before." The nurse concludes that the client is exhibiting which of the following?
1. Pain tolerance
2. Pain threshold
3. Addiction
4. Drug tolerance
4
Rationale: The client is displaying drug tolerance, which results from the body's adaptation to repeated dosages at the same level. The nurse will notify the physician, and anticipates an increase in dosage. Pain tolerance is the amount of pain stimuli a client can handle, and is based on pain threshold, or the level of pain required for the client to feel the stimuli as pain. Addiction involves a physical and psychological need for the drug.
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Extreme care is used by the nursing staff when repositioning or transporting a patient with advanced multiple myeloma to prevent:
a. pain to the patient. b. bruising and hematomas. c. muscle spasms. d. pathologic fractures.
A client who has been casted for a fracture of the left ulna bone asks the nurse when the cast will come off. The nurse's response is based on the knowledge that this will occur when:
1. The x-ray of the fractured bone shows that the ends are well joined. 2. A cartilage collar can be clearly felt at the site of the original break. 3. A predetermined amount of time has passed; the time is determined by the severity of the break. 4. The remodeling phase of the bone healing process has been completed, allowing for application of mechanical stress.
Through genetic testing a homosexual male learns of having two copies of a gene deleted in gene CCR5. What should the nurse prepare to discuss with this client? Select all that apply
1. Safe sexual practices 2. Reduced risk of contracting HIV 3. Increased risk of contracting HIV 4. Expectation to develop AIDs quickly 5. Delayed conversion of HIV to AIDS
________ is an acute condition in which there is a reduction in the number of white blood cells (WBCs), specifically polymorphonuclear cells (granulocytes).
A. Hypercalcemia B. Agranulocytosis C. Cretinism D. Osteoporosis