A client reports needing to increase opioid dosage to achieve the original level of pain relief.Which action should the nurse take?

Explain that opioid receptor response reduces with continued use.

Collect information on all sources used to obtain opioids.

Advise that detoxification will be needed to reattain pain relief.

Discuss the dangers of using opioids for non-medical purposes.

Answer and Explanation

The Correct Answer is A

A.   Explaining the phenomenon of opioid tolerance and receptor response reduction with continued use helps the client understand why increased dosage might be needed.
B.   Collecting information on opioid sources is important but doesn't directly address the issue of increased tolerance.
C.   Detoxification might be an extreme measure and is not the first step in addressing increased opioid tolerance.
D.   Discussing the dangers of opioid misuse is essential, but it doesn't address the specific issue of increased tolerance for pain relief.

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Correct Answer is D

Explanation

Rationale for A: Erythema of localized lesions may indicate an inflammatory condition or infection, which could suggest that the hair loss is disease-related.

Rationale for B: Evidence of patches of lost haircan be due to cosmetic products or abuse hence not conclusive

Rationale for C: Episodic complaints of pruritus could indicate an allergic reaction or infestation, which suggests a possible disease-related cause for the hair loss.

Rationale for D: Ecchymotic blood accumulations suggest trauma to the scalp.

C. Episodic complaints of pruritus (itching) might suggest irritation but do not conclusively indicate the hair loss is not disease-related.
D. Ecchymotic blood accumulations indicate bruising but are not typically associated with hair pain or loss.

A. Disturbed sensory perception. B. Compromised family coping. C. Impaired environmental interpretation. D. Ineffective sexual patterns.

Correct Answer is A

Explanation

A. The client's belief in having an extraordinarily high IQ and grandiose delusions about being married to a movie star are indicative of disturbed sensory perception.
B. While family coping might be impacted, the primary concern here is the client's altered perception of reality.
C. Impaired environmental interpretation might be related to the delusions but is not the primary problem.
D. Ineffective sexual patterns are not the primary concern in this scenario; the client's altered reality and delusions take precedence.

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A client reports needing to increase opioid dosage to achieve the original level of pain relief.Which action should the nurse take?

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Naxlex Comprehensive Predictor Exams

A preschool-aged girl tells the school nurse that her hair hurts. The nurse finds that the child's hair has been arranged to cover several small bald spots. Which finding indicates to the nurse that the hair loss is not disease-related?

Correct Answer is D

Explanation

A male client tells the nurse that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. Which is the priority nursing problem for admission to the psychiatric unit?

Correct Answer is A

Explanation

A client with depression does not want to communicate with friends, uses television watching as a means of escaping responsibilities, and describes the inability to handle personal circumstances. Which coping strategy should the nurse include in the plan of care?

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The nurse is planning the care for a client who is hospitalized with bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? (Select all that apply.)

A client with borderline personality disorder tells the nurse, "You are the best nurse on the unit! The other nurses don't care about me the way you do." Which response should the nurse provide to this client?

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