A charge nurse is orienting a newly licensed nurse about pain management principles related to clients' age. Which of the following information should the newly licensed nurse consider when administering opioids?

Adults require higher doses of opioids due to pain intolerance.

Older adults require lower doses of opioids.

Young children should receive opioid doses based on weight.

Young adults should receive half the dose of opioids to prevent misuse.

Answer and Explanation

The Correct Answer is B

A.   Adults do not necessarily require higher doses; dosing is individualized based on pain severity and response.
B.   Older adults typically require lower doses of opioids due to slower metabolism and increased sensitivity to medications.
C.   While dosing for young children should be carefully calculated, the focus here is on the principles related to age, and older adults are specifically mentioned.
D.   Young adults' opioid doses should be based on pain assessment and clinical judgment, not arbitrarily halved to prevent misuse.

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Correct Answer is B

Explanation

A. While pain level is important, it is not the priority in assessing the effectiveness of naloxone, which is given to reverse respiratory depression.
B. Assessing breath sounds is crucial as naloxone's primary function is to restore adequate respiration in opioid toxicity.
C. Monitoring heart rate is important but secondary to ensuring the client can breathe adequately.
D. Blood pressure monitoring is essential but comes after ensuring the client's respiratory status is stable.

A. “I will perform oral hygiene using a firm-bristle toothbrush." B. “I will avoid taking folic acid supplements while taking this medication." C. "I will rinse with saline every 2 hours while awake." D. "I will avoid consuming alcoholic beverages." E. "I will consume foods that are soft or semisolid."

Correct Answer is ["C","D","E"]

Explanation

A. A firm-bristle toothbrush can cause further irritation and trauma to the already sensitive and lesioned oral mucosa. A soft-bristle toothbrush is recommended instead. This statement indicates a misunderstanding of proper oral care in the context of stomatitis.
B. Methotrexate can cause folic acid deficiency, and taking folic acid supplements is often recommended to mitigate some side effects of methotrexate, including oral mucositis. Avoiding folic acid supplements is not correct in this context and indicates a misunderstanding of the appropriate use of supplements.
C. Saline rinses help to keep the mouth clean and can soothe mucosal irritation and lesions associated with stomatitis. This indicates effective teaching as it is a recommended intervention for managing stomatitis.

D. Alcohol can irritate the oral mucosa and exacerbate stomatitis. Avoiding alcohol helps prevent further irritation and promotes healing, indicating the client understood the teaching.
E. Consuming soft or semisolid foods can reduce irritation and trauma to the oral mucosa, which is important for clients with stomatitis. This shows that the client has understood and can implement dietary modifications to manage their condition.

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A charge nurse is orienting a newly licensed nurse about pain management principles related to clients' age. Which of the following information should the newly licensed nurse consider when administering opioids?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?

Correct Answer is B

Explanation

A nurse is caring for a client in the clinic. Exhibits Which of the following client statements indicates to the nurse the teaching was effective? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

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