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- Which action should the nurse take to assess for analgesic tolerance in a client who is unable to communicate? A. Review the client’s laboratory values for a change in peak and trough levels of the analgesic B. Prolong the interval between analgesic medication doses and monitor the client’s vitals signs C. Observe the client for the presence of pain behaviors before the next analgesic dose is due D. Ask family members to report behavior is suggesting that the client pain has returnedA nurse caring for patients in a hospital setting uses anticipatory guidance to prepare them for painful procedures. Which instruc-tion would the nurse provide in this type of stress management? a. The nurse teaches patients rhythmic breathing to performprior to the procedure. b. The nurse tells patients to focus on a pleasant place, men-tally place themselves in it, and breathe slowly in and out. c. The nurse teaches patients about the pain involved in theprocedure and methods to cope with it.d. The nurse teaches patients to create and focus on a mentalimage during the procedure to become less responsive tothe pain.According to the director of addiction services at the U of IL Hospital and Health Sciences System, when should you be wary of a treatment program for opioid addiction? a) When the program asks a participant to move to a treatment center b) When the program doesn't allow use of medication to assist treatment c) When the program has a religious component
- A client diagnosed with body dysmorphic disorder has a nursing diagnosis of disturbed body image R /T reddened face. Which is a long-term outcome for this client? 1. The client will recognize the exaggeration of a reddened face by day 2. 2. The client will acknowledge the link between anxiety and exaggerated perceptions. 3. The client will use behavioral modification techniques to begin accepting reddened face. 4. The client will verbalize acceptance of reddened face by scheduled 3-month followup appointment.In caring for a patient experiencing ethanol withdrawal, the nurse expects to administer which medication or medication class as treatment for this condition? a) lithium (Eskalith)b )Benzodiazepinesc )buspirone (BuSpar)d )AntidepressantsA patient is experiencing withdrawal from opioids. The nurse expects to see which assessment finding most commonly associated with acute opioid withdrawal? a) Elevated blood pressureb) Decreased pulsec )Lethargyd )Constipation
- A patient with bone pain caused by metastatic cancer will be receiving transdermal fentanyl patches. The patient asks the nurse what benefits these patches ha-e. The nurse’s best response includes which of these features? a )More constant drug le-els for analgesia b )Less constipation and minimal dry mouth c )Less drowsiness than with oral opioids d )Lower dependency potential and no major ad-erse effectsR.F., a single 19-year-old female experiencing anorexia nervosa, was admitted to a mental health center inpatient unit weighing 64 lb, approximately 54 lb underweight, with liver, kidney, and pancreas damage. D.R. was hospitalized for 59 days. Treatment consisted of utilizing a hierarchy of reinforcements in the form of privileges mutually agreed upon between patient and therapist, psychodynamic and supportive psychotherapy, and involvement in the ward milieu therapeutic program. All privileges had to be earned. Access to food was controlled by the staff. For pounds gained privileges were granted, for pounds lost privileges were curtailed. Dynamically, D.R.'s eating behavior was viewed as an unconscious spite and revenge reaction toward her parents as well as an attempt to elicit attention. At the time of discharge D.R. weighed 104.5 lb. Prior to discharge D.R. agreed that if her weight dropped below 100 lb she would return for readmission. Five months later D.R.'s weight stabilized…After a patient has been treated for depression for 4 weeks, the nurse calls the patient to schedule a follow-up visit. What concern will the nurse assess for during the conversation with the patient? a )Weaknessb )Hallucinationsc )Suicidal ideationsd )Difficulty with urination
