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."

Answer and Explanation

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.

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Correct Answer is A

Explanation

(A) Place the client in high-Fowler’s position and encourage the use of incentive spirometer and coughing: This is the most appropriate action. The high-Fowler’s position can help improve lung expansion and gas exchange, while the use of an incentive spirometer and coughing can help clear secretions and improve ventilation. This is particularly important for a client who is postoperative following an open thoracotomy.

(B) Switch oxygen to a nonrebreather mask: Switching to a nonrebreather mask may deliver a higher concentration of oxygen, but it does not address the underlying issue of impaired gas exchange due to decreased lung expansion and retained secretions.

(C) Position the client prone and have the respiratory therapist perform postural drainage: While postural drainage can help clear secretions, it may not be comfortable or safe for a client who is 1 day postoperative following an open thoracotomy.

(D) Increase oxygen to 70%: Increasing the oxygen concentration may improve the client’s oxygen saturation, but it does not address the underlying issue of impaired gas exchange due to decreased lung expansion and retained secretions. Furthermore, excessively high concentrations of oxygen can have harmful effects, such as oxygen toxicity or suppression of the respiratory drive in some clients.

A. Open access peer-reviewed articles must be purchased by the user. B. Editorial opinion articles by journalists can be as relevant as peer-reviewed articles C. Peer-reviewed articles are not considered scholarly sources of evidence. D. Peer-reviewed articles have been through laborious review by other professionals.

Correct Answer is D

Explanation

A. Open access peer-reviewed articles must be purchased by the user: This is not accurate. Open access articles are freely available to the public and do not require purchase.

B. Editorial opinion articles by journalists can be as relevant as peer-reviewed articles: While editorial opinion articles can provide valuable insights, they are not subjected to the same rigorous review process as peer-reviewed articles. Therefore, they are not considered as reliable or authoritative as peer-reviewed articles.

C. Peer-reviewed articles are not considered scholarly sources of evidence: This is incorrect. Peer-reviewed articles are considered one of the highest levels of scholarly sources of evidence. They have been reviewed and approved by experts in the field before publication.

D. Peer-reviewed articles have been through laborious review by other professionals: This is correct. Peer-reviewed articles undergo a rigorous review process by experts in the field, ensuring the research is of high quality and the findings are valid.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is preparing an in-service about evidence-based practice (EBP). Which of the following information should the nurse include about peer-reviewed sources of information?

Correct Answer is D

Explanation

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