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
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Aspirin is a salicylate that has multiple effects. When taken in excess in susceptible individuals it can cause tinnitus due to salicylism. The client should be advised to report any tinnitus to the provider as this may be a sign of aspirin toxicity.
A. Black stool is the client signifies upper GI bleeding that should be monitored for and reported if it occurs
B. Aspirin tablets have a vinegar smell when hydrolysis has taken place and should not be taken at this point
D. Aspirin should be taken with meals or after meals
Correct Answer is B
Explanation
A. Taking the medication on an empty stomach is not necessary
B. Storing the medication at room temperature is correct to prevent degradation and reduced efficacy.
C. The duration of treatment with nystatin suspension varies depending on the severity of the infection as fungal infections require days to weeks to clear completely
D.After swishing, it's usually recommended to hold the medicine in the mouth for as long as possible before swallowing, to maximize its effectiveness
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