An older client had hip replacement surgery and the surgeon prescribed morphine sulfate for pain. The client is allergic to morphine and reports pain and muscle spasms. When the nurse calls the surgeon,
which medication should he or she suggest in place of the morphine?
a.
Cyclobenzaprine (Flexeril)
b.
Hydromorphone hydrochloride (Dilaudid)
c.
Ketorolac (Toradol)
d.
Meperidine (Demerol)
ANS: B
Cyclobenzaprine (used for muscle spasms), ketorolac, and meperidine (both used for pain) are all on the Beers list of potentially inappropriate medications for use in older adults and should not be suggested. The nurse should suggest hydromorphone hydrochloride.
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The nurse is creating program objectives to address a population's health problem. Which program objective should the nurse provide the planning committee?
1. 75% of program participants will lose weight. 2. 32% of program participants will demonstrate how to administer insulin by the end of the third week. 3. 100% of program participants will understand the new food pyramid by the end of the second week. 4. 50% of program participants will quit smoking.
The nurse would explain the etiology of heart failure after myocardial infarction (MI) as
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The wound care nurse prepares to dress the clients' wounds. Which wound should receive a transparent film dressing?
1. Clean, superficial laceration 2. Deep leg ulcer with infection 3. Puncture wound with bleeding 4. Large laceration over eyebrow
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