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 C

Explanation

A. Massaging the injection site can increase the risk of bruising and bleeding and should be avoided.
B. The air bubble in a prefilled enoxaparin syringe helps ensure the full dose is administered and prevents medication leakage; it should not be expelled.
C. Enoxaparin is typically administered into the anterolateral or posterolateral abdominal areas for optimal absorption and to minimize tissue irritation.
D. Pinching the skin, rather than holding it taut, is recommended to create a proper subcutaneous pocket for the injection.

A. Administer the insulin within 20 min of preparing it. B. Ensure the NPH insulin is drawn into the syringe first. C. Inject air into the vial to withdraw the short-acting insulin. D. Use two separate syringes to mix the insulin

Correct Answer is C

Explanation

A. Insulin mixtures should be administered within a reasonable time, but the primary concern is ensuring the correct procedure for mixing.
B. NPH insulin should be drawn up after the short-acting insulin to prevent contamination of the short-acting vial.
C. Injecting air into the vial to withdraw the short-acting insulin first prevents contamination and ensures accurate dosing.
D. Using two separate syringes is unnecessary; mixing insulins can be done in one syringe with proper technique.

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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 is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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