The nurse observes myoclonic movements in an older patient receiving morphine sulfate for pain. What should the nurse do with this finding?
1. Contact the prescribing physician.
2. Observe the patient for more movements.
3. Document the finding in the patient's medical record.
4. Send a blood sample to the lab to analyze the drug level.
1
Rationale: Myoclonic jerking movements may be associated with high-dose opioid therapy especially morphine. An alternate opioid should be used if this occurs and the physician needs to be contacted to change the medication order.
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During the admission process, clients are informed about
1. Their diagnosis 2. Treatment plans 3. Their legal rights 4. Availability of translators
The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate?
a. "A good time to examine your testicles is just before you take a shower." b. "If you notice an enlarged testicle or a painless lump, call your health care provider." c. "The testicle is egg shaped and movable. It feels firm and has a lumpy consistency." d. "Perform a testicular examination at least once a week to detect the early stages of testicular cancer."
To assist the client with Parkinson's disease to reduce tremor, the nurse suggests that the client
a. clasp arms about self and squeeze. b. sleep on the non-tremorous side. c. tightly hold change in the pocket. d. visualize stilling the tremor.
A nurse is providing information to a group of pregnant clients and their partners about the psychosocial development of an infant. Using Erikson's theory of psychosocial development, what should the nurse tell the group about the infants?
A. Rely on the fact that their needs will be met B. Need to tolerate a great deal of frustration and discomfort to develop a healthy personality C. Must have needs ignored for short periods to develop a healthy personality D. Need to experience frustration, so it is best to allow an infant to cry for a while before meeting his or her needs