A patient with chronic pain was admitted to the hospital. The physician orders morphine sulfate 5mg PO every 4 hours. The patient states that he usually takes his home morphine prescription of 10mg every 4 hours and has been for several months. The patient is at risk for which of the following?
Physical dependence
Tolerance
Abstinence syndrome
The Correct Answer is B
Choice A rationale: Physical dependence is a state where the body has adapted to the presence of the opioid, and abrupt cessation may lead to withdrawal symptoms. However, the patient's statement indicates tolerance more than physical dependence.
Choice B rationale: The patient is at risk for tolerance, which is the need for an increased dose of a substance to achieve the same effect. This is common in chronic opioid therapy.
Choice C rationale: Abstinence syndrome is another term for withdrawal syndrome, and this is more associated with sudden cessation of opioids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Selective stimulation of beta2 receptors is less likely to cause hypoglycemia; beta1 receptors are more involved in glucose metabolism.
Choice B rationale: Beta2 receptors are primarily found in the bronchioles of the lungs, and their stimulation leads to improved breathing.
Choice C rationale: Tachycardia is more commonly associated with the selective stimulation of beta1 receptors.
Choice D rationale: Beta2 receptors are not typically involved in the modulation of pain perception.
Correct Answer is B
Explanation
Choice A rationale: Atropine is not primarily used to prevent anxiety. Its main use is to increase heart rate by blocking vagal effects on the heart.
Choice B rationale: Atropine is commonly used to prevent or treat bradycardia, particularly during anesthesia induction, when vagal stimulation can lead to significant slowing of the heart rate.
Choice C rationale: Dry mouth is a common side effect of atropine, not its primary use. Atropine is not given to prevent dry mouth.
Choice D rationale: Atropine is not used to prevent hypertension. Its primary cardiovascular effect is to increase heart rate.
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