A patient in the ICU is receiving intravenous opioid analgesia following myocardial infarction. Despite receiving continuous infusion of the opioid, the patient is grimacing and asks for an increase in the medication level
Consulting the medical chart, the nurse recognizes that this patient has a history of opioid addiction. What would be the most appropriate intervention?
A) Immediately take the patient off of the opioid and give him Tylenol.
B) Leave the patient on the opioid at the current dose level.
C) Increase the dose of opioid to provide more effective pain relief.
D) Reduce the dose of opioid and offer to turn on the television as a distraction from the pain.
C
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The nursing student learns that the function of the hypothalamus is to do which of the following?
a. Cause lactation to begin b. Produce spermatozoa c. Release follicle-stimulating hormone d. Release gonadotropin-releasing hormone
A nurse is creating a care plan for a patient with a nasogastric tube. How should the nurse direct other members of the care team to check correct placement of the tube?
A) Auscultate the patient's abdomen after injecting air through the tube. B) Assess the color and pH of aspirate. C) Locate the marking made after the initial x-ray confirming placement. D) Use a combination of at least two accepted methods for confirming placement.
An older patient asks the nurse for medication to promote sleep. What is the best alternative to sleep sedatives that the nurse can suggest?
A) Watch television before going to bed B) Drink some wine before going to bed C) Take a warm bath before going to bed D) Avoid eating carbohydrates before going to bed
Identify a difference between direct-acting and indirect-acting cholinergic drugs.
A. Direct-acting drugs inhibit the activity of the enzyme acetylcholinesterase, whereas indirect-acting drugs enhance the activity of acetylcholinesterase. B. Direct-acting drugs lead to an increase in the concentration of acetylcholine in the synaptic cleft of all cholinergic nerve endings, whereas indirect-acting drugs do not affect the concentration of acetylcholine in the synaptic cleft of cholinergic nerve endings. C. Indirect-acting drugs increase cholinergic activity at all muscarinic and nicotinic receptors sites, whereas direct-acting drugs only increase cholinergic activity at the muscarinic receptor sites. D. Indirect-acting drugs bind to muscarinic receptors, whereas direct-acting drugs do not bind to any receptors.