Acetaminophen (Tylenol) is prescribed for a 70-year-old with chronic pain. When the patient reports to the nurse that the maximum daily dose of medication does not control the pain, the nurse responds
a. "Breakthrough pain can be managed with the addition of another analgesic."
b. "Transcutaneous electrical nerve stimula-tion (TENS) is often helpful."
c. "It sounds as though you have developed a tolerance for acetaminophen."
d. "We will need to get your physician to prescribe another analgesic for you."
D
The patient needs a comprehensive review of pain strategies, which will probably include changing pain medication. Using the maximum dose of acetaminophen long term can cause liver damage, which is another reason the patient should switch medications if it is not working.
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The student nurse is studying for a pharmacology exam and notices that many of the adrenergic blocking antagonists drugs studied in class have what suffix?
A) -aine B) -lol C) -azole D) -triptan
A nurse is interviewing the parents of a child diagnosed with obstructive uropathy. Which statement by the parents would the nurse identify as significant?
A) "She's been constipated quite a few times." B) "We've noticed that her bed is wet in the morning." C) "She had surgery to repair a problem with her anus." D) "She had a bacterial skin infection about a week ago."
The nurse suspects that a client should be evaluated for diabetes mellitus. What risk factors did the nurse assess to make this clinical determination? (Select all that apply.)
1. Has a body mass index of 40 2. Triglyceride level 325 mg/dL 3. Mother has type 2 diabetes mellitus 4. Serum potassium level is 4.2 mEq/L 5. Has a blood pressure of 156/88 mm Hg