Transdermal opioid administration is indicated for a client in which of the following situations?
a. The exact dosing of medication is required.
b. Oral medication cannot be tolerated.
c. Pain is predictable, as in postsurgical clients.
d. Pain is continuous, and high dosage is required.
D
Transdermal opioid administration allows for slow infusion through the skin and is indicated when pain is continuous and high dosage is required.
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The nurse is planning care for a client who is experiencing Stage 1 Alzheimer disease. Which intervention will promote a therapeutic environment for a client with acute confusion?
A) Background noise like music will keep this client calm. B) Dim the lights during waking hours. C) Schedule meals at the same time each day. D) Pain medications will enhance the therapeutic environment.
A client has died from very disfiguring injuries received in an automobile accident. When the family arrives moments later, the nurse relays the news to the family and then should (Select all that apply)
a. allow the family to be alone to grieve. b. give information related to the extent of the fatal injuries. c. help the family to focus on decisions requiring immediate attention. d. tell the family that it is best not to view the body.
A group of nursing supervisors are discussing the pros and cons of implementing client simulators into their continuing education program. Which statement best reflects a possible disadvantage associated with the use of simulators?
A) "We can ensure all nurses have exposure to specific critical learning experiences." B) "The level of difficulty for the individual's level and objectives will need to be adapted." C) "We probably need to reevaluate our nurse-to-facilitator ratios with simulations." D) "We can assume that the nurses will be less anxious so they'll learn better."
A male construction worker asks the nurse if the mole on his arm is skin cancer. During assessment using the mnemonic ABCDE, which finding would the nurse identify as being suspicious of melanoma?
A) Solid, dark brown color B) Asymmetric, irregular borders C) Diameter of 3 mm D) Flat with silvery scales