A nurse is discussing the use of cocaine as a local anesthetic with a nursing student. Which statement by the student indicates understanding of this agent?
a. "Anesthetic effects develop slowly and persist for several hours."
b. "Cocaine is a local anesthetic administered by injection."
c. "Vasoconstrictors should not be used as adjunct agents with this drug."
d. "When abused, cocaine causes physical dependence."
C
Cocaine should not be combined with epinephrine or other vasoconstrictors, because it causes vasoconstriction itself, and the combination could precipitate severe hypertension. Cocaine has a rapid onset of effects, which last about 1 hour. It is used only topically for anesthesia. Although subject to widespread abuse with profound psychologic dependence, it does not cause substantial physical dependence.
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You are evaluating the discharge teaching you have done with your patient concerning drug therapy. What statement from the patient would indicate that teaching had been effective?
A) "I have to take three pills each day and I can take them at the time that fits my schedule." B) "I should take the white pill in the morning because the doctor wants me to take it." C) "I will add the names and dosages of these new drugs to my medication list in my wallet." D) "I have prescriptions at different pharmacies. I shop around for the best price for each drug."
An older adult patient has been admitted to a subacute geriatric medicine unit with a diagnosis of failure to thrive. The nurse is conducting a comprehensive assessment that focuses on the patient's musculoskeletal system
During this assessment, what will be the nurse's primary focus? A) Risk factors for common diseases of the musculoskeletal system B) The presence or absence of musculoskeletal diagnoses C) The patient's level of function and activities of daily living D) The integrity of the patient's integumentary system
While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding her:
a. history of medication allergies. b. alcohol, tobacco, and caffeine use. c. level of personal education. d. amount of personal income.
A nurse states, "I don't understand why the Stuart Stress Adaptation Model uses both the health/illness and adaptation/maladaptation continua.". The best reply is:
a. "The more information that's contained within the model, the more realistically it represents life.". b. "The model recognizes that nature is ordered as a social hierarchy from simple to complex. The health/illness continuum is a simple concept; the adaptation/maladaptation continuum is more complex.". c. "To integrate the theory of four stages of psychiatric treatment, Stuart had to have a health/illness frame of reference. The adaptation/maladaptation continuum was necessary to complement the holistic framework.". d. "The health/illness continuum reflects a medical world view, whereas the adaptation/maladaptation continuum is derived from nursing's world view. The two reflect the complementary nature of the nursing and medical models of practice.".