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.

Answer and Explanation

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

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Correct Answer is A

Explanation

Levodopa/carbidopa is metabolized to dopamine in the brain. This increases concentration of dopamine in the brain to bind dopaminergic neurons hence promoting cognition and motor movements in Parkinson disease
B. Piperacillin/tazobactam is an antibiotic used to manage bacterial infections.
C. Carbamazepine- is an anticonvulsant agent used in seizures control and other psychiatric illnesses.
D. Levothyroxine-a synthetic thyroid hormone used in the management of hypothyroidism.

A. Document that the client refuses the medications. B. Ask the client why he is refusing to take the medications. C. Explain the purgH3Se for the medications. D. Tell the client the physician wants him to take the medications.

Correct Answer is B

Explanation

The nurse should identify the concerns that the client has regarding to the medications prescribed. This allows the nurse and the provider to demystify any incorrect information the client might have or address any other underlying issues.

A. Just documenting does not address the client’s issues and shows lack of empathy

C. Explaining is important but the reason for refusal could be something else

D. The nurse should not use any reason to try and force the client to take the medications

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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