A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?
The client has become addicted to the medication.
The client is experiencing episodes of confusion.
The client not been taking the medication properly.
The client developed tolerance to the medication.
The Correct Answer is D
Tolerance refers to where there is reduced responsiveness to a drug due to prolonged exposure to the drug requiring higher doses to achieve the same effect. This effect requires progressive increment in dosages of the medication which may increase the risk for toxicity.
A. Addiction is characterized by compulsive efforts to acquire the drug despite being aware of its adverse consequences
C and D are not related to the continuous need for higher doses of morphine
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
vitamin C and other fruit juices (except grape juice) enhance the absorption of oral iron supplements in the gastrointestinal tract. Therefore, the clients are encouraged to take the supplements along with such fruit juices.
B. Rinsing the mouth should be done after to prevent staining of teeth
C. Taking the supplement on an empty stomach promotes gastrointestinal irritation
D. Dairy products inhibit iron absorption and should therefore be avoided
Correct Answer is A
Explanation
Grapefruit juice interacts with cyclosporine slowing down it's metabolism and excretion which can lead to increase blood levels potentially leading to toxicity. Clients taking cyclosporine should avoid consuming grapefruit juice.
B, C, D- smoked salmon, pepperoni, and orange juice do not typically have significant interactions with cyclosporine.
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