Which side effects of opioid analgesics can have therapeutic benefits? (Select all that apply.)
a. Biliary colic
b. Cough suppression
c. Suppression of bowel motility
d. Urinary retention
e. Vasodilation
ANS: B, C, E
Individual effects of morphine may be beneficial, detrimental, or both. Cough suppression is usually beneficial; suppression of bowel motility and vasodilation can be either beneficial or detrimental. Biliary colic and urinary retention are always detrimental side effects.
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The perinatal nurse understands that maternal antibodies pass through the placenta by which mechanism?
A. Active transport B. Facilitated diffusion C. Osmosis D. Pinocytosis
The nurse is caring for a 55-year-old patient receiving metoprolol (Lopressor). What statement by the patient would lead the nurse to believe that he needs additional instruction?
A) "If I have side effects from the medication, I will contact my physician before I stop taking it." B) "I can take over-the-counter (OTC) cold medication while on metoprolol." C) "I will take the medication on an empty stomach." D) "I will report a weight gain of 2 pounds or more in 1 week."
After keeping a log of activities designed to improve time management, the nurse divides the distractions into internal and external sources. The nurse would classify which distraction as internal?
a. Responding to recurring crises at work or in one's personal life b. Unsuccessful attempts to communicate with the unit manager c. Talking with potential faculty candidates d. Being given unclear job responsibilities
When bathing your clients, you should do which of the following to decrease friction and excoriation?
1. Do not use soap. 2. Use a soft washcloth and towel. 3. Avoid washing overly dry skin. 4. Do not use moisturizing lotion.