A nurse is caring for a client who is at the end of life. The client's partner is concerned about using opioid narcotics to manage the client's pain. Which of the following statements should the nurse make?
"Opioid narcotics are restricted for the client because of the risk for addiction."
"Using opioid narcotics will limit options available for future management of pain."
"The use of opioid narcotics is restricted to when death is imminent
"The dosage of the opioid narcotic is unlimited."
The Correct Answer is D
A. "Opioid narcotics are restricted for the client because of the risk for addiction":
This statement is not accurate and may contribute to unnecessary fear or misunderstanding about opioid use. While there is a risk of opioid addiction, it is generally low when opioids are used appropriately for pain management, especially in end-of-life care settings where the focus is on comfort and symptom management.
B. "Using opioid narcotics will limit options available for future management of pain":
This statement is misleading and may cause unnecessary concern. In end-of-life care, the priority is to provide effective pain relief and maximize comfort for the client. Opioid narcotics are an essential component of pain management in palliative and hospice care and do not necessarily limit future pain management options.
C. "The use of opioid narcotics is restricted to when death is imminent":
This statement is not accurate. Opioid narcotics can be used for pain management at various stages of illness, including but not limited to end-of-life care. While opioids are commonly used in palliative and hospice care settings, they may also be indicated for pain management in other clinical contexts.
D. "The dosage of the opioid narcotic is unlimited":
This statement is the most appropriate response. In end-of-life care, the goal of pain management is to relieve suffering and maximize comfort. Opioid dosages are titrated based on the client's pain intensity and response, and there is no strict limit to the dosage if needed to achieve adequate pain control. The priority is to ensure that the client is comfortable and free from pain as much as possible, even if higher doses of opioids are required.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer: C. Orange ice pop
Rationale:
A) Ice cream: Although cold, ice cream can be thick and may stick to the throat, potentially causing discomfort and an urge to clear the throat, which could disrupt the healing tissue and increase bleeding risk.
B) Hot tea: Hot beverages can irritate the surgical site and increase the risk of bleeding due to the heat dilating blood vessels in the area. Cold or room temperature items are recommended post-tonsillectomy.
C) Orange ice pop: An orange ice pop is cold and soothing, which can reduce swelling and pain. Its smooth texture is easy on the throat and unlikely to cause irritation, making it an ideal snack post-tonsillectomy.
D) Cranberry juice: Cranberry juice is acidic and can irritate the throat, causing discomfort and possibly increasing inflammation at the surgical site. Non-acidic, cold foods are preferable to aid in comfort and healing.
Correct Answer is C
Explanation
(A) Kernig’s sign: Kernig’s sign is a clinical sign in which severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees. It is commonly associated with meningitis, not hypocalcemia.
(B) Brudzinski’s sign: Brudzinski’s sign is a symptom of meningitis. It is not associated with hypocalcemia.
(C) Chvostek’s sign: This is the most appropriate answer. Chvostek’s sign is a clinical sign of existing nerve hyperexcitability (tetany) seen in hypocalcemia. It refers to an abnormal reaction to the stimulation of the facial nerve.
(D) Cullen’s sign: Cullen’s sign is a medical term referring to superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus. It is not associated with hypocalcemia.
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