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?

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.

Withhold the benzodiazepine but continue the opioid.

Answer and Explanation

The Correct Answer is B

A.   Withholding the opioid may lead to inadequate pain relief, which isn't the best approach, especially in a terminally ill patient experiencing severe pain.
B.   Continuing the medication dosages that relieve pain is important for the client's comfort, even if it causes somnolence.
C.   Contacting the provider to consider an NSAID might be an option, but immediate relief should not be compromised while awaiting a change in medication.
D.   Withholding the benzodiazepine might be considered if the sedation is excessive, but prioritizing pain relief is crucial in end-of-life care unless there are severe adverse effects.

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Correct Answer is A

Explanation

A. Cutaneous anthrax is typically treated with antibiotics such as ciprofloxacin, doxycycline, or penicillin, making preparation to administer antibiotics the appropriate action.
B. While respiratory precautions might be necessary in cases of inhalational anthrax, cutaneous anthrax does not typically require the use of an N95 respirator mask.
C. Antiviral medications are not the standard treatment for cutaneous anthrax; antibiotics are the primary treatment.
D. Placing a surgical mask on the client during transfer might not be necessary for cutaneous anthrax exposure, as the mode of transmission is not through respiratory droplets.

A. Pertussis B. Rotavirus C. Group B streptococcal disease D. Respiratory syncytial virus

Correct Answer is A

Explanation

A. Pertussis is a notifiable disease, meaning healthcare providers are required to report cases to the state health department for public health monitoring and intervention.
B. Rotavirus, though significant, may not be a reportable disease in all regions.
C. Group B streptococcal disease might require reporting in certain circumstances but typically isn't as universally notifiable as pertussis.
D. Respiratory syncytial virus might require reporting in specific situations, but pertussis typically has broader reporting requirements.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of the following actions should the nurse take?

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Explanation

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