Which of the following actions would be inappropriate by the nurse when planning pain relief interventions for the patient with a history of substance abuse?
1. administering long-acting analgesics
2. treating pain with NSAIDs instead of opioid drugs
3. planning for comorbid psychiatric disorder treatment
4. using oral medications in place of intravenous ones when possible
2
Rationale: Patients with a history of substance abuse are not immune to acute pain, and they may require opioid therapy following surgery, trauma, or other painful events. It is important to avoid drugs that are similar to the abuse drug; however, opioids may be required for adequate pain control in patients with a history of substance abuse. Administering long-acting analgesics, treating psychiatric disorders, and using oral medications when possible can improve the effectiveness of pain treatment in those who have a history of substance abuse.
You might also like to view...
An appropriate outcome for a client with a personality disorder with a nursing diagnosis of
ineffective coping related to use of manipulation would be that the client will a. identify when angry. b. use manipulation only to get legitimate needs met. c. acknowledge manipulative behavior when it is called to his or her attention. d. accept the decision that staff will fulfill a client request within an hour rather than immediately.
The nurse has counseled a 53-year-old woman to increase her daily calcium intake. Which of the following food selections by the client indicate that the teaching has been successful?
1. Broccoli, rhubarb, and carrots. 2. Peanut butter, peas, and spinach. 3. Avocado, banana, and oranges. 4. Turkey, almonds, and whole wheat bread.
Which test is used to evaluate model improvement for added predictors in hierarchical logistic regression?
a. The likelihood ratio test b. The Wald test c. The logit step test d. The standardized residuals test
The nurse is discussing car safety with the mother of a 6-year-old child. The child's mother questions the need for the use of special car seats for her child. What information can be provided to her?
A) "Car seats are only recommended until children are 3 years old." B) "At the age of 6 your child should be using a booster seat." C) "Car seats are recommended until children are at least 10 years old." D) "Your child will be safe in the car using the provided shoulder harness and lap belts."