The client is prescribed 2 mg of intravenous morphine every 2 hours as needed for pain. The nurse administers the medication. Thirty minutes later, the client reports the pain level remains at a "6" on a pain intensity scale of 0 to 10. The nurse first
a) Teaches the client about guided imagery and distraction
b) Assesses the client's mental status and vital signs
c) States that "You received the full dose. I can give you no more."
d) Contacts the physician to report the ineffectiveness of the medication
Answer: b) Assesses the client's mental status and vital signs
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What instructions would be important to give to a 50-year-old patient with type 2 diabetes who has been switched from glyburide (DiaBeta) to repaglinide?
A) "It is less potent, so you will need to take a larger dose." B) "It stimulates insulin production, so you need to eat soon after taking the medication." C) "It is more potent and longer lasting, so you should take it every other day." D) "The two medications are virtually the same."
The nurse initiates teaching for the client who takes levodopa (Larodopa). Which of the following should the nurse caution the patient to avoid?
A) Foods high in vitamin A B) Anticholinergic drugs C) Foods high in vitamin B6 D) Passion flower herbs
A client becomes frustrated with the inability to remember foods eaten during the latest meal and asks if this is the beginning of dementia. The best response by the nurse would be:
1. "Yes, it is, which is why I asked the question." 2. "Yes, but the symptoms are not very bad and won't progress." 3. "No, but you are at risk because of your age." 4. "No, short term memory loss is a normal part of aging."
Which question asked during an interview is acceptable?
A) Are you married? B) Have you ever been arrested? C) What is your religious preference? D) What professional organizations do you belong to?