IM injections of pain medication may be contraindicated for patients who:.
Have small, poorly developed muscles.
Have poor cognitive abilities.
Need short-term pain management.
Have multiple drug allergies.
The Correct Answer is A
Choice A rationale:
IM injections of pain medication may be contraindicated for patients who have small, poorly developed muscles. The rationale for this is that IM injections require adequate muscle mass to ensure proper absorption and distribution of the medication. If a patient has small, poorly developed muscles, the injection may not be as effective, and there's a risk of improper medication delivery, which can lead to reduced pain relief and potential complications.
Choice B rationale:
IM injections are not primarily contraindicated for patients based on their cognitive abilities. However, the patient's cognitive abilities may affect their ability to understand and follow instructions related to the injection process. It's essential for healthcare providers to ensure that the patient comprehends the procedure and can cooperate. Patients with cognitive impairments may require additional assistance or alternative methods of pain management, but it's not a direct contraindication to IM injections.
Choice C rationale:
Needing short-term pain management is not a contraindication for IM injections of pain medication. IM injections can be suitable for short-term pain relief, as they can provide relatively rapid and effective pain control. The choice of pain management method should depend on the specific circumstances and the patient's condition, but the duration of pain management needed is not a direct contraindication to IM injections.
Choice D rationale:
Having multiple drug allergies can be a concern when considering IM injections of pain medication, but it is not a direct contraindication. The healthcare provider should carefully assess the patient's allergies and select a medication that is safe and appropriate for the individual. In some cases, alternative routes of administration may be considered to avoid allergenic reactions. However, having multiple drug allergies alone does not necessarily contraindicate IM injections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Constipation is not a common adverse effect of pain medication administered by the epidural route. Pain medication primarily affects the central nervous system and does not typically impact the gastrointestinal system in a way that would lead to constipation.
Choice B rationale:
Hypoventilation is the correct answer. When opioids or other potent pain medications are administered by the epidural route, they can depress the respiratory center in the brain, leading to hypoventilation (slow or inadequate breathing). This is a critical concern and the most important adverse effect to monitor because it can lead to respiratory compromise or even respiratory arrest.
Choice C rationale:
Nausea can be a side effect of some pain medications, but it is not the most important adverse effect to monitor in a patient receiving epidural pain medication. Nausea can often be managed with antiemetic medications.
Choice D rationale:
Headache is not a common adverse effect of epidural pain medication. The administration of pain medication into the epidural space is localized to the spinal area and does not typically lead to headaches.
Correct Answer is A
Explanation
Choice A rationale:
Sleep influences memory. During the different stages of sleep, particularly during deep sleep (slow-wave sleep and rapid eye movement sleep), the consolidation of memories occurs. This means that sleep plays a critical role in memory function.
Choice B rationale:
Sleep influences mood. A lack of sleep or disrupted sleep patterns can lead to mood disturbances, including irritability, anxiety, and depression. Adequate sleep is essential for maintaining a stable and positive mood.
Choice C rationale:
Sleep influences cognitive function. Sleep is crucial for cognitive processes such as attention, problem-solving, and decision-making. Sleep deprivation can impair cognitive function, leading to reduced alertness and cognitive performance.
Choice D rationale:
Sleep influences the secretion of various hormones. Sleep plays a significant role in regulating hormones such as growth hormone, cortisol, and melatonin. Disruptions in sleep can lead to imbalances in these hormones, affecting various physiological processes.
Choice E rationale:
Sleep influences immune function. Adequate sleep is essential for a healthy immune system. During sleep, the immune system is actively engaged in repairing and protecting the body. Sleep deprivation can weaken the immune response, making individuals more susceptible to infections.
Choice F rationale:
Sleep influences body temperature. The body's core temperature fluctuates during the sleep-wake cycle, with the lowest point typically occurring during the night when we are asleep. This temperature regulation is essential for sleep quality and overall health.
Choice G rationale:
Sleep influences renal function. Sleep has an impact on various physiological processes, including renal function. The kidneys play a role in regulating blood pressure and electrolyte balance, which can be influenced by sleep patterns.
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