A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

The client has become addicted to the medication.

The client is experiencing episodes of confusion.

The client not been taking the medication properly.

The client developed tolerance to the medication.

Answer and Explanation

The Correct Answer is D

Tolerance refers to where there is reduced responsiveness to a drug due to prolonged exposure to the drug requiring higher doses to achieve the same effect. This effect requires progressive increment in dosages of the medication which may increase the risk for toxicity.
A. Addiction is characterized by compulsive efforts to acquire the drug despite being aware of its adverse consequences
C and D are not related to the continuous need for higher doses of morphine

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Correct Answer is C

Explanation

Prednisone is a corticosteroid that can suppress the body's immune system increasing the client's susceptibility to infections such as upper respiratory tract infections. Flu vaccine is, therefore, important to boost immunity
A. Aspirin and Prednisone increases the risk of gastrointestinal irritation and ulceration and use together increases this risk even further.
B. Although hypokalemia is a common electrolyte abnormality observed with hypokalemia, eating more bananas is unlikely to address the issue
D. Getting a sore throat can happen due to lowered immunity but does not always happen

A. “The naproxen is easier to take when I crush it and put it in apple sauce” B. "I've been taking an antacid to help with indigestion." C. "I've lost 2 pounds since my appointment 2 weeks ago." D. "1 signed up for a swimming class."

Correct Answer is A

Explanation

Crushing or breaking naproxen tablets can alter their pharmacokinetics and pharmacodynamics leading to an increased risk of gastrointestinal side effects or reduced

effectiveness of the medication. The tablet should therefore be taken whole.

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A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse?

Correct Answer is A

Explanation

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