A patient taking PO hydromorphone for pain control has developed dysphagia. The clinician decides to switch the patient to IV hydromorphone. What is the ratio of IV:PO hydromorphone the clinician needs to know to calculate the proper dose?

a. 1:1 c. 1:5
b. 1:2 d. 1:7


ANS: C

Nursing

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A nurse is caring for a client suspected of a cocaine-induced myocardial infarction (MI). When asked to describe how cocaine can induce an MI, which rationale will the nurse use to respond?

A) Significantly increases the serum triglyceride level, leading to the development of an atheroma. B) Alters the body's clotting mechanisms, leading to thrombus formation. C) Increases sympathetic nervous system stimulation, increasing blood pressure and vasoconstriction. D) Alters electrolyte balance, leading to arrhythmias.

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What managerial action is important when supporting the delegation of a task to a subordinate?

A) Always requiring a maximizing quality outcome B) Frequently reassuring the employee that if they are incapable of completing a delegated task, it will be reassigned C) Drafting a preliminary plan of how the task will be redone if the outcome does not meet stated expectations D) Occasionally providing learning or "stretching" opportunities for employees

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While conducting a health interview the nurse suspects an older patient might be experiencing diabetes. What comment did the patient make that could indicate this diagnosis?

1. "I sometimes have muscle aches in my upper legs at night." 2. "I feel a bit tired by midafternoon and take a 30-minute nap most days." 3. "I've been experiencing blurred vision frequently during the past month." 4. "I'm slightly winded when I walk up a flight of stairs but it passes quickly."

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A deliberate deception for the purpose of securing an unfair or unlawful gain is:

a. assault. c. battery. b. fraud. d. intentional tort(s).

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