A nurse caring for a patient who requires long-term management for severe pain recognizes that the drug of choice for this patient is:
a. aspirin.
b. morphine.
c. oxycodone.
d. acetaminophen.
B
Morphine and hydromorphone are the opioids of choice for long-term management of severe pain.
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The home care nurse administers oral morphine to the patient with cancer pain. When will the nurse expect this medication to reach peak activity?
A) 10 minutes B) 30 minutes C) 45 minutes D) 60 minutes
Following a biopsy, a 54-year-old man has been diagnosed as having a benign neoplastic tumor. Which of the following characteristics most likely applies to his tumor?
A) The tumor is poorly approximated and has the potential to break loose. B) The tumor may secrete hormones or cytokines. C) The well-differentiated, neoplastic cells are clustered together in a single mass. D) It has a rapid rate of growth and can induce ischemia.
When the patient comes into the clinic and says that she has been waking up with a dry mouth and has had several colds in the last few months, the nurse suspects that the patient may need:
1. to use a humidifier at home. 2. a throat culture. 3. a nasal culture. 4. antibiotics for her frequent upper respiratory infections.
A nurse is caring for a client who experiences cluster headaches. The nurse knows that cluster headaches result from a vascular disturbance leading to vasodilation. What symptoms and signs of vasodilation should the nurse look for in the client?
A) Tears forming B) Reduced respiratory rate C) Generalized shivering D) Shrunken eyes