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.
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Cisplatin is a chemotherapeutic agent that is ototoxic which may present as tinnitus, hearing loss and vestibular disturbances
A-Cisplatin causes diarrhea
B-Cisplatin does not cause weight gain
D-Cisplatin causes hypokalemia
Correct Answer is D
Explanation
Gentamicin is a nephrotoxic and ototoxic antibiotic. It I important to have its serum levels should be closely monitored to ensure they are within the therapeutic window
A- Gentamicin is an intravenous formulation and its administration is not related to meals
C- Limiting fluid intake increases the risk of renal injury
D- Agitation is not a common side effect with gentamicin use
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