The nurse is reviewing the admission orders for an 86-year-old client who is being admitted for pneumonia. The client, who has been diagnosed as having uterine cancer, has chronic pain caused by arthritis

The physician has ordered oral long-acting narcotic medication every 4 hours as needed. In administering this medication the nurse would: 1. Administer the medication sparingly to avoid narcotic addiction.
2. Administer the medication when the client requests.
3. Consult the physician to order intravenous pain medication.
4. Administer the prn medication around the clock.


4. Administer the prn medication around the clock.

Rationale:
Pain medication is best when it is administered around the clock. Needless suffering occurs when the medication is used sparingly or when waiting for the client to request something for pain. The elderly are less likely to become addicted to narcotics. Oral medications are the least invasive and may provide sufficient relief; therefore, they should be tried first.

Nursing

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A parent asks about whether a 7-year-old child is able to care for a dog. Based on the child's age, what does the nurse suggest?

a. Caring for an animal requires more maturity than the average 7-year-old possesses. b. This will help the parent identify the child's weaknesses. c. A dog can help the child develop confidence and emotional health. d. Cats are better pets for school-age children.

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A young adult client recovering from an injury that resulted in partial paralysis plans to live independently as before the injury. Which referral should the nurse identify as being the best for this client?

1. Paramedical technologist 2. Physical therapist 3. Occupational therapist 4. Case manager

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The nurse is aware that the musculoskeletal system of the child is composed of: (Select all that apply.)

a. Major blood vessels b. Bones c. Joints d. Muscle e. Cartilage

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A nurse researcher is exploring and formulating research problems. Which of the following criteria should the nurse researcher consider in this process? (Select all that apply.)

______ Significance ______ Confidentiality ______ Researchability ______ Design ______ Feasibility ______ Interest to the researcher

Nursing