A nurse is caring for a client who is at the end of life.
The client's partner is concerned about using opioid narcotics to manage the client's pain.
Which of the following statements should the nurse make?
"Opioid narcotics are restricted for the client because of the risk for addiction.”.
"Using opioid narcotics will limit options available for future management of pain.”.
"The use of opioid narcotics is restricted to when death is imminent.”.
"The dosage of the opioid narcotic is unlimited.”. .
The Correct Answer is D
Choice A rationale:
"Opioid narcotics are restricted for the client because of the risk for addiction.”. This statement is not accurate. Opioid narcotics are not restricted solely due to the risk of addiction. While there is a potential for addiction with opioids, they are still an essential and effective option for managing severe pain, including end-of-life pain. The key is to use them judiciously and monitor for signs of addiction.
Choice B rationale;
"Using opioid narcotics will limit options available for future management of pain.” Using opioids does not limit future pain management options.
Choice C rationale:
"The use of opioid narcotics is restricted to when death is imminent.”. This statement is not accurate either. Opioid narcotics can be used to manage severe pain in various situations, not just when death is imminent. They are not restricted to end-of-life care only.
Choice D rationale:
"The dosage of the opioid narcotic is unlimited.”. The dosage of opioid narcotics can be increased as needed to manage pain effectively. There is no strict limit, and the goal is to provide adequate pain relief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Secondary prevention involves early detection and intervention to prevent the progression of a disease. In the case of breast cancer, a mammogram is a secondary prevention measure because it aims to detect cancer at an early stage, especially in individuals with a family history of the disease. Early detection can lead to timely treatment and improved outcomes.
Choice B rationale:
Echocardiograms are typically used to assess the function of the heart and diagnose existing heart conditions. While it is a valuable diagnostic tool, it is not an example of secondary prevention, which is focused on early detection and prevention of disease.
Choice C rationale:
Influenza vaccination is an example of primary prevention, as it aims to prevent the initial occurrence of the disease by providing immunity against the influenza virus. It is not considered a form of secondary prevention.
Choice D rationale:
Not scheduling a series of tests for an asymptomatic client does not fit the definition of secondary prevention. Secondary prevention involves screening and early detection in individuals at risk or with early signs of a disease to prevent its progression. An asymptomatic client without known risk factors may not require such testing as a preventive measure.
Correct Answer is B
Explanation
Choice A rationale:
Increased collagen. Increased collagen is not a risk factor for pressure injuries. Collagen provides strength and support to the skin and tissues, which can be protective against pressure injuries by maintaining tissue integrity.
Choice B rationale:
Decreased circulation. Decreased circulation is a significant risk factor for pressure injuries. When blood flow to a specific area is reduced, it can lead to tissue ischemia, which makes the tissue more vulnerable to pressure damage. The lack of oxygen and nutrients from reduced circulation impairs the skin's ability to withstand pressure, increasing the risk of pressure injury development.
Choice C rationale:
Increased muscle mass. While having increased muscle mass can offer some protection against pressure injuries due to the added support and padding, it is not a primary risk factor for developing pressure injuries. In fact, individuals with increased muscle mass may be less prone to pressure injuries because their muscle tissue helps distribute pressure more evenly.
Choice D rationale:
Decreased serum calcium. Decreased serum calcium levels can affect muscle function and bone health but are not a direct risk factor for pressure injuries. Pressure injuries primarily result from sustained pressure on the skin and underlying tissues, often due to immobility and other factors. Calcium levels are not directly related to the development of pressure injuries.
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