An older client just returned from surgery and is rating pain as "8" on a 0 to 10 scale. Which medications are unsafe choices for treatment of severe pain in this older adult?
a. Meperidine (Demerol)
b. Methadone (Dolophine)
c. Propoxyphene (Darvocet)
d. Morphine (Durmorph)
e. Codeine
A, B, C, E
Meperidine, propoxyphene, and codeine are not recommended for older clients because toxic metabolites may accumulate. Codeine may cause constipation as well. Methadone has an ex-tremely long half-life (24 to 36 hours) and has a high potential for sedation and respiratory de-pression. Morphine is considered the gold standard and may be used in the older adult while monitoring for sedation and respiratory depression is conducted.
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The nurse is assisting in the preparation of a seminar on dietary preferences of different cultural and ethnic groups. For this presentation, which populations should the nurse identify as being lactose intolerant? (Select all that apply.)
1. Asians 2. Native Americans 3. Eastern Europeans 4. African Americans 5. Mexican Americans
During a well-child check-up, the parents of a 9-year-old boy tell the nurse that their child's friends told him that soccer is a stupid game, and now he wants to play baseball. Which comment by the nurse best explains the effects of peer groups?
A) "The child's best friends will continue playing soccer." B) "Acceptance by friends, especially of the same gender, is very important at this age." C) "The children will cheer for each other regardless of the sport being played." D) "Your child will rarely talk to you about his friends."
A 16-year-old is making her first prenatal visit to the clinic in her fourth month of pregnancy. What is the nurse's first responsibility?
1. Contact the social worker. 2. Develop a trusting relationship. 3. Schedule the client for prenatal classes. 4. Teach the client about proper nutrition.
In which areas of the body is edema usually noted first, and how is it identified?
What will be an ideal response?