A nurse is providing care for a patient who has a methicillin-resistant Staphylococcus aureus (MRSA) infection, which was cultured from the urine. What is the most appropriate action for the nurse to take?

Choice A rationale:
Tolerance to the opiate medication is developing. This is the most likely explanation for why the client's pain is no longer being controlled by the same dose of medication. Tolerance is a physiological adaptation that occurs with repeated exposure to opioids, leading to a decrease in their effectiveness over time. This means that the client's body is becoming less responsive to the medication, and a higher dose is needed to achieve the same level of pain relief.
Choice B rationale:
There is likely a history of addiction. While it is possible that the client has a history of addiction, this is not the most likely explanation for why the medication is no longer controlling the pain. Addiction is a complex condition that is characterized by compulsive drug seeking and use, despite negative consequences. It is not simply a matter of tolerance developing.
Choice C rationale:
The client is opiate naive. This means that the client has not previously been exposed to opioids. While opiate-naive clients may be more sensitive to the effects of opioids, they are also more likely to experience side effects, such as nausea and vomiting. The fact that the client has been receiving the same dose of medication for 2 days without experiencing side effects suggests that they are not opiate naive.
Choice D rationale:
Physical dependence. Physical dependence is a state of adaptation that occurs with repeated exposure to opioids, leading to withdrawal symptoms if the medication is abruptly stopped. However, physical dependence does not necessarily mean that the medication is no longer effective in controlling pain.

Choice A rationale:
Affiliation with a medical or nursing school can offer some benefits, but it's not the most crucial factor to consider when seeking a new job.
Nurses in these facilities may have opportunities for professional development and involvement in research, but these benefits might not be available to all nurses.
The quality of the work environment, staffing levels, and support for nurses can vary significantly in facilities affiliated with schools.
Prioritizing Magnet status ensures a focus on nursing excellence and a commitment to providing a supportive work environment.
Choice B rationale:
Having the latest technology can be appealing, but it doesn't guarantee a positive work experience for nurses.
The most important factors for job satisfaction and quality patient care are often related to the work environment, staffing levels, and leadership support.
Magnet hospitals prioritize these factors, leading to better outcomes for both nurses and patients.
Choice C rationale:
Inquiring about nurse-patient ratios is essential, but it's not the only indicator of a positive work environment.
Magnet hospitals typically have favorable nurse-patient ratios, but they also excel in other areas that contribute to job satisfaction and quality care.
These areas include: shared governance, leadership support, professional development opportunities, and a focus on evidence-based practice.
Choice D rationale:
Magnet status is the highest recognition a hospital can achieve for nursing excellence.
It signifies a commitment to: quality patient care, positive work environments for nurses, professional development, and shared governance.
Research consistently demonstrates that Magnet hospitals have: lower nurse turnover rates, higher patient satisfaction scores, and better patient outcomes.
Seeking employment in a Magnet hospital is the most beneficial advice for a nurse looking for a job that prioritizes nursing excellence, job satisfaction, and quality patient care.