The nurse plans care for the client receiving nonopioid analgesic drugs based on which benefit these drugs have over opioids?
1. Lower risk of dependency
2. Few or no GI side effects
3. Cost-effectiveness
4. No risk of dizziness or hallucinations
Correct Answer: 1
Rationale 1: Nonopioid drugs have a lower risk of dependency than do opioid drugs.
Rationale 2: Both opioid and nonopioid drugs have a risk of GI side effects.
Rationale 3: Both opioid and nonopioid drugs have the same cost index.
Rationale 4: Both opioid and nonopioid drugs can cause hallucinations and dizziness.
Global Rationale: Nonopioid drugs have a lower risk of dependency than do opioid drugs. Both opioid and nonopioid drugs have a risk of GI side effects; have the same cost index; and can cause hallucinations and dizziness.
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The nurse assesses the client after being on the CPM for 2 hours. When documenting in the medical record for this client, which item does the nurse exclude from the documentation?
1. Degree of flexion and extension 2. Analgesia administered prior to starting the CPM 3. Speed 4. Duration of therapy and client tolerance
A nurse is discussing fibrinolytic therapy for the acute phase of STEMI management with a group of nursing students. Which statement by a student indicates understanding of this therapy?
a. "Fibrinolytics are effective when the first dose is given up to 24 hours after symp-tom onset." b. "Fibrinolytics should be given once car-diac troponins reveal the presence of STEMI." c. "Fibrinolytics should be used with caution in patients with a history of cerebrovascu-lar accident." d. "Patients should receive either an anti-coagulant or an antiplatelet agent with a fibrinolytic drug."
In looking through the literature review of a published study, how would "relevant literature" be operationalized best?
a. The literature would all be in English so that the American reader can understand it. b. All the studies would have been conducted within the last 5 years. c. The references should give a meaningful picture of the research problem. d. The review will be broad to encompass all that is known about the research topic.
The nurse decides that a clinical guideline would be helpful when planning the care of a patient. What should the nurse do to obtain this guideline?
1. Access a nursing literature database 2. Search through a nursing procedure textbook 3. Telephone a clinical guidelines company for assistance 4. Conduct a computer search on a clinical guidelines website