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 B

Explanation

washing the affected area with soap and water before applying the cream remove any debris that may interfere with absorption of the drug allowing for optimal concentration for clearance of the infection.
A. Increasing fluid intake is not specifically related to the use of gentamicin topical cream.
C. Topical gentamicin cream does not have adverse effects associated with systemic formulations hence no reported blurred vision
D. Application is only recommended for affected areas.

A. Return the medication to the pharmacy. B. Discard the medication. C. Notify the provider. D. Give the medication.

Correct Answer is B

Explanation

Beyond the expiration date drugs should be discarded as the efficacy and safety of the medication cannot be guaranteed. Using expired medication can lead to reduced effectiveness or even potential harm to the client.

A. Returning the medication to the pharmacy may not be feasible, as the medication is expired and should not be used. The proper course of action is to discard it.

C. Notifying the provider is unnecessary in this situation.

D. Using expired medication can compromise client safety and is not in accordance with best practice guidelines.

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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 providing teaching to a client Who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide?

Correct Answer is B

Explanation

The nurse is preparing a medication for a client and observes the date of expiration on the vial occurred 2 months ago. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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