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?

The dosage of the opioid narcotic is unlimited.

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.

Answer and Explanation

The Correct Answer is C

A.   The dosage of opioid narcotics is not unlimited and should be carefully titrated to the client's pain level.
B.   Opioid narcotics are not restricted solely due to the risk of addiction, especially in end-of-life care where effective pain management is a priority.
C.   This statement emphasizes the importance of maintaining a stepwise approach to pain management, preserving options for effective pain control.
D.   The use of opioid narcotics is not restricted solely to when death is imminent; it depends on the client's pain and symptom management needs.

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Correct Answer is B

Explanation

A. A butterfly rash on the face is associated with systemic lupus erythematosus (SLE), not rheumatoid arthritis.
B. Ulnar deviation of the joints is a characteristic finding in rheumatoid arthritis, caused by inflammation and destruction of the joint structures.
C. Heberden’s nodes are associated with osteoarthritis, not rheumatoid arthritis.
D. Bouchard’s nodes are also associated with osteoarthritis, not rheumatoid arthritis.

A. Provide oxygen at 6 L/min via nasal cannula. B. Apply cold compresses to joints. C. Perform passive ROM exercises. D. Administer IV fluids E. Obtain consent for a blood transfusion F. Restrict fluid intake to 1,400 mL/day G. Administer meperidine H. Encouraging bedrest

Correct Answer is ["B","C","G","H"]

Explanation

A. Providing oxygen at 6 L/min via nasal cannula is not indicated based on the information provided. The client denies shortness of breath, and vital signs are within normal limits.
B. Applying cold compresses to joints can help reduce swelling and alleviate pain in the extremities.
C. Performing passive range of motion (ROM) exercises is appropriate to maintain joint flexibility and prevent contractures.
D. Administering IV fluids is not explicitly indicated based on the information provided. Fluid management should be individualized based on the client's condition and underlying factors.
E. Obtaining consent for a blood transfusion is not necessary unless the client has severe anemia or bleeding.
F. Restricting fluid intake to 1,400 mL/day may cause dehydration and electrolyte imbalance.
G. Administering meperidine (a narcotic analgesic) may be considered for pain relief.
H. Encouraging bedrest is appropriate to minimize joint stress and promote healing, especially when there is pain and swelling in the extremities.

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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?

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Naxlex Comprehensive Predictor Exams

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