The patient, diagnosed with cancer, is receiving morphine sulfate (a potent narcotic pain reliever) to relieve cancer pain
Approximately every 7 days the medication is no longer effective in controlling the patient's pain and a larger dose is needed to have the same effect. How might the nurse explain why this is happening? A) Tolerance
B) Cumulation
C) Interactions
D) Addiction
A
Feedback:
The body may develop a tolerance to some drugs over time. Tolerance may arise because of increased biotransformation of the drug, increased resistance to its effects, or other pharmacokinetic factors. When tolerance occurs, the amount of the drug no longer causes the same reaction. Therefore, increasingly larger doses are needed to achieve a therapeutic effect. Cumulative effect occurs when the drug is not properly eliminated and more of the drug is administered, resulting in toxic levels accumulating. Interactions occur when the drug reacts badly with another substance such as food, another drug, or an alternative or complementary therapy. Addiction is the psychological need for a substance.
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Indicate whether the statement is true or false
All of the following statements about the patient's electronic health record are true EXCEPT
a. information is less complete than the tradi-tional handwritten form b. the information is more organized than the handwritten form c. there is less redundancy than with the handwritten form d. all members of the health care team have access to the electronic record
The licensed staff members who belong to the union filed a grievance against the hospital related to the conditions of employment. According to the National Labor Relations Board, in this situation collective bargaining is:
a. Petitionary b. Illegal c. Voluntary d. Mandatory
THA involves
A. insertion of a hip prosthesis. B. traction for a hip fracture. C. use of a cast for a hip fracture. D. pinning of a hip fracture.