A nurse should be aware of contraindications to the use of opioids to help decrease the likelihood of adverse reactions. The nurse understands that opioids would be contraindicated in which client? Select all that apply
A) A client with acute bronchial asthma
B) A client with an acute myocardial infarction
C) A client with a head injury
D) A client with grand mal seizures
E) A client with mild renal impairment
Ans: A, C, D
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The use of opioids is contraindicated in clients with acute bronchial asthma, emphysema, upper airway obstruction, head injury, increased intracranial pressure, convulsive disorders, severe renal or hepatic dysfunction, and acute ulcerative colitis.
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The nurse is preparing a patient for an invasive diagnostic test that will provide direct visualization of the rectum, entire large intestine, and distal small bowel
The nurse should teach and give the patient written instructions about which of the following tests? a. Barium enema b. Ultrasound of the abdomen c. Sigmoidoscopy d. Colonoscopy
A patient is diagnosed with moderate vitamin B12 deficiency. The nurse reviews the laboratory work and notes that the plasma B12 is low; also, a Schilling test reveals B12 malabsorption
The provider orders oral cyanocobalamin 500 mcg per day. The nurse will contact the provider to: a. discuss IM dosing. b. request an order for folic acid. c. suggest an increased dose. d. suggest platelet transfusion therapy.
A nurse auscultates the right carotid artery in an elderly client. What does this assessment finding mean?
A) It is normal B) It is distended C) It is dissecting D) It is inflamed
The nurse applies resistance to the top of the client's foot and asks him to pull his toes toward his knee. The nurse observes active motion against some, but not against full, resistance. How should the nurse document this finding?
a. 5: Normal b. 4: Slight weakness c. 3: Weakness d. 2: Poor ROM