A hospice nurse is caring for a client who has 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?
Continue the medication dosages that relieve the client’s pain
Contact the provider about replacing the opioid with an NSAID
Administer the benzodiazepine but withhold the opioid
Withhold the benzodiazepine but continue the opioid
The Correct Answer is D
a. Continuing both medications may exacerbate the somnolence and difficulty arousing experienced by the client. It's essential to address the adverse effects promptly.
b. NSAIDs are not typically the first choice for severe pain management in terminal illness, especially when opioids are already prescribed. Moreover, replacing the opioid with an NSAID may not adequately address the pain.
c. Administering the benzodiazepine alongside the opioid may further potentiate the sedative effects and worsen the client's condition.
d. This is the most appropriate action. Withholding the benzodiazepine can help mitigate the sedation while continuing the opioid ensures ongoing pain relief for the client's comfort without introducing additional sedating medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a. Clients with compromised immunity are often placed in protective environments, but not necessarily in negative air pressure rooms. These rooms are typically reserved for clients on airborne precautions.
b. An N95 respirator is required for airborne precautions, not droplet precautions. A regular surgical mask is sufficient for droplet precautions.
c. Contact precautions primarily focus on preventing the transmission of pathogens through direct or indirect contact. Visitors are usually instructed to wear personal protective equipment (PPE) when entering the room, but the focus is on healthcare workers wearing PPE during patient care.
d. A client on airborne precautions (e.g., for tuberculosis or measles) should wear a mask (preferably an N95 or equivalent) when leaving the room to prevent spreading airborne pathogens
Correct Answer is ["A","B","C","D"]
Explanation
b. Develop learning objectives for the program: This step is essential as it sets the foundation for what the educational program aims to achieve. Learning objectives define what participants should be able to do or know after completing the program. They guide the content and structure of the educational session.
a. Determine what skills to teach the staff members: Once the learning objectives are established, the nurse can identify the specific skills or knowledge areas that need to be taught to achieve those objectives. This step involves analyzing the functionality of the new intravenous pump and identifying the key competencies that staff members need to develop.
c. Identify resources available to meet objectives: After determining the skills to teach, the nurse should assess the resources available to deliver the educational content effectively. This may include educational materials, equipment, personnel, and facilities needed to conduct the training session.
d. Review the staff member's evaluation of the program: Evaluation is crucial to assess the effectiveness of the educational program and identify areas for improvement. By reviewing staff members' evaluations of the program, the nurse can gather feedback on the content, delivery, and overall impact of the training session, allowing for continuous quality improvement in future educational endeavors.
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