A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?

Withhold the benzodiazepine but continue the opioid.

Administer the benzodiazepine but withhold the opioid.

Continue the medication dosages that relieve the client's pain.

Contact the provider about replacing the opioid with an NSAID.

Answer and Explanation

The Correct Answer is B

Being difficult to arouse may be and indicator of respiratory depression which is a common side effect of opioid use. This is more common when given in high doses. Although benzodiazepines could cause respiratory depression, the risk is lower.

A. opioid is more likely to be the cause of respiratory depression

C. continuing the medications despite the increased risk of respiratory depression is unethical

D. An NSAID is unlikely to provide optimal analgesia which is a key goal in end of life care,

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Correct Answer is D

Explanation

A. Total Parenteral Nutrition (TPN) IV tubing should be changed every 24 hours due to the high risk of infection associated with TPN. Changing it every 48 hours is not recommended and could lead to increased patient risk.

B. Total parenteral nutrition solution bags should be changed every 12 to 24 hrs depending on the constituents

C. Peripheral IV solution bags should be replaced every 24 hrs.

D The Infusion Nurses Society (INS) Standards of Practice recommend changing peripheral IV primary tubing every 96 hours. This is considered a cost-effective practice as it reduces the frequency of changing the tubing, thus saving resources, without compromising patient safety.

A. Determine the reasons the nurses are not taking scheduled breaks. B. Provide coverage for the nurses' breaks. C. Review facility policies for taking scheduled breaks. D. Discuss time management strategies with the nurses.

Correct Answer is A

Explanation

To address a problem, establishing the root cause of the problem is the primary step. Understanding the reason behind the behavior allows the solutions to be tailored towards this.

The other options provide solutions which should only happen after the root cause of the issue is well understood.

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A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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