A postoperative patient is receiving morphine sulfate from a patient-controlled analgesia device. On assessment, the nurse notes that the patient's respirations are depressed
The nurse realizes the effect of morphine sulfate infusion can be labeled as which of the following? a. Toxic
b. Allergic
c. Therapeutic
d. Idiosyncratic
A
Toxic effects are capable of causing injury or death. They often develop after prolonged intake of a medication or when a medication accumulates in the blood because of impaired metabolism or excretion. When patients become immunologically sensitized to a medication after taking at least one dose, allergic reactions occur. When a patient's immune system causes abnormal reactions to a medication, the patient has a medication allergy. Each medication has a therapeutic effect, the intended or desired physiological response of a medication. Some medications cause unpredicta-ble effects, such as idiosyncratic reactions, in which a patient overreacts or underreacts to a me-dication or has a reaction different from what is expected.
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You are caring for a patient who has just been told that her stage IV colon cancer has recurred and metastasized to the liver. The oncologist offers the patient the option of surgery to treat the progression of this disease
What type of surgery does the oncologist offer? A) Palliative B) Reconstructive C) Salvage D) Prophylactic
The 20-year-old client at 10 weeks' gestation is preparing for her first prenatal visit. She confides: "This pregnancy was unplanned. I'm not sure if I want to be pregnant or not. I haven't even told my boyfriend I'm pregnant
And I haven't decided if I'm going to continue the pregnancy." Which of the following statements should the nurse make next? 1. "It's really unusual for a pregnant woman to feel this way early in the pregnancy." 2. "These thoughts are because your mother died when you were 4 years old." 3. "You should go to a pregnancy support group to be a good mother." 4. "It's common to feel ambivalent about pregnancy in the first trimester."
The greatest risk factor for suicide in adult women is:
a. Divorce b. Unemployment c. Intimate partner violence d. Terminal illness
A client with a fractured left femur has been using crutches for the past 4 weeks. The physician tells the client to begin putting a little weight on the left foot when walking. Which of the fol-lowing gaits should the client be taught to use?
1. Two-point 2. Three-point 3. Four-point 4. Swing-through