A patient with chronic back pain has been taking oral morphine sulfate (MS Contin) for the past 2 years. Upon admission to the hospital, the patient receives morphine sulfate for back pain but reports no pain relief
The nurse notifies the health care provider, recognizing that the reason for the lack of pain relief is which of the following? a. Side effect of the morphine
b. Drug dependence
c. Idiosyncratic response to the morphine
d. Medication tolerance
D
Medication tolerance is a decreased physiological response that occurs after repeated administration of a medication. Side effects are predictable and often unavoidable secondary effects produced at a usual therapeutic drug dose. Drug dependence can be physical or psychological. In psychological dependence, patients have an emotional desire for a drug to maintain an effect. A person believes that a desirable effect will result when taking the medication. Physical dependence is a physiological adaptation to a medication that manifests itself by intense physical disturbance when the medication is withdrawn. Medications often cause unpredictable effects, such as an idiosyncratic reaction, in which a patient overreacts or underreacts to a medication or has a reaction that is different from normal.
You might also like to view...
The nurse is assessing a typical patient with cholecystitis. The patient complains of localized pain. Where would the nurse also ask the patient if the pain has radiated to?
A) Left upper arm B) Lower abdomen C) Neck or jaw D) Right shoulder
The nurse suspects that a patient is experiencing fat embolism syndrome (FES). Which assessment data support the nurse's clinical decision?
Select all that apply. 1. pulse oximetry 88% 2. petechiae observed on the chest and upper arms 3. complaints of shortness of breath 4. respiratory rate 32 5. skin warm and dry
When assisting a patient in a wet cast to turn in bed, you should
A. instruct the patient to pick up the cast and move it. B. cover the cast with the blanket. C. handle the cast only with the palms of your hands. D. keep the casted area lower than the rest of the body.
Contractures and deformities develop very slowly after paralysis occurs.
Answer the following statement true (T) or false (F)