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
Omeprazole is a (PPI) proton pump inhibitor used to inhibit excessive acid secretion in the stomach. Persistent exposure of the stomach lining to acid leads to epigastric pain, bloating and feelings of early satiety. Reduction of acid secretion helps to relieve dyspeptic symptoms caused by irritation of gastric mucosa by the acid.
B. Omeprazole is not used for management of headaches
C, D- Omeprazole does not have effect on appetite or bowel movements. Absence of headache
Correct Answer is D
Explanation
Sucralfate is a medication used to treat gastric and duodenal ulcers by forming a protective coating over the ulcer site to prevent acid exposure. Taking it 1 hour before meals and bedtime ensures formation of a coat prior to production of acid during digestion or lying down.
A. Taking sucralfate "as needed" may lead to overdose as well as reduced effectiveness
B. There's no need to reduce fluid intake with sucralfate.
C. Sucralfate should not be taken with antacids, as they can interfere with its effectiveness by altering its pH-dependent mechanism of action. It's generally recommended to take sucralfate at least 30 minutes before or after taking antacids.
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