A postoperative patient has a history of opioid abuse. Which analgesic medication will the nurse expect the provider to order for this patient?
a. Buprenorphine (Buprenex)
b. Butorphanol tartrate (Stadol)
c. Naloxone (Narcan)
d. Pentazocine (Talwin)
ANS: A
Buprenorphine is an opioid agonist-antagonist analgesic and was developed to help decrease opioid abuse. Butophanol and pentazocine are also in this class, but reports say that they cause dependence. Naloxone is an opioid antagonist and is given to reverse the effects of opioids if toxicity occurs.
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A nurse is explaining the purpose of a bone marrow biopsy (BMB) to a client. The information the nurse provides is that a bone marrow biopsy is done to evaluate
a. blood dyscrasias such as aplastic anemia or leukemia. b. hemoglobin and hematocrit production. c. specific parts of the white cell differentiation. d. total numbers and types of different lymphocytes.
A nurse is asked to meet with a family who recently emigrated from Botswana (Africa). After the clinical doctor tells the husband the wife's diagnosis of breast cancer, the family thanks the physician and starts to leave
Ethically, which of the following is the nurse's most important action? a. Emphasizing that the family must set up a surgical appointment for the wife immediately b. Assessing the family's current living situation, including insurance and other assets c. Educating the family concerning the usual treatment and the prognosis of breast cancer d. Interviewing the family concerning their perspective of the threat to the family's well-being
A group of middle-aged clients are inquiring about nutritional related health problems inherent in their age group. In order to best address these concerns of this specific age group, the nurse will:
1. Provide information, including a website, regarding age specific diet plans. 2. Give all clients a handout on diets recommended by the ADA. 3. Tell the clients to check with their physician before dieting. 4. Have them write to the U.S. Department of Agriculture.
Guidelines for performance ratings should meet what criteria?
a. Patient satisfaction comments b. Quantity of care c. Mastery of skills d. Behavioral expectations