A patient has been receiving morphine sulfate 5 mg IV every 4 hours for the past several days. She states that the pain is not being relieved as well as it was in the past. What is the reason for this development?
A) She has developed a dependency on the morphine.
B) She has metastatic cancer and is dying.
C) She has greater pain with inactivity.
D) She has developed tolerance to morphine.
D
Feedback:
Larger-than-usual doses of morphine are required to treat pain in opiate-tolerant people. The patient has not developed a dependence on morphine. A patient with metastatic cancer will require increasing pain management, but this feature is not the rationale for the patient's statement. The increased pain is not related to inactivity.
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A) Dry mouth B) Hypernatremia C) Fatigue D) Hypoglycemia
A family member tells the nurse that much information is available on the internet about medications. This family member asks the nurse to explain what neurotransmitters are impacted by lithium. Which nursing response is correct?
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What was founded by Lillian Wald?
a. National Commission on Children b. Henry Street Settlement c. White House Conference d. U.S. Children's Bureau
A nurse is reviewing arterial blood gas results on an assigned client. The pH is 7.32 with PCO2 of 49 mm Hg and a HCO3– of 28 mEq/L. The nurse reports to the physician which finding?
A) Respiratory acidosis B) Respiratory alkalosis C) Metabolic acidosis D) Metabolic alkalosis