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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale: 1500 mg is below the recommended maximum dose of acetaminophen.
Choice B rationale: 2000 mg is below the recommended maximum dose of acetaminophen.
Choice C rationale: The maximum recommended dose of acetaminophen in a 24-hour period is 4000 mg.
Choice D rationale: 5000 mg exceeds the recommended maximum dose of acetaminophen and can lead to liver damage.

A. Decreased blood pressure, Uterine muscle relaxation B. Increased blood pressure, Contraction of skeletal muscle C. Increased Blood Pressure, Improved renal perfusion D. Decreased Blood Pressure, Decreased piloerection

Correct Answer is C

Explanation

Choice A rationale: Dopamine receptor activation is not associated with uterine muscle relaxation. It is more commonly associated with increased blood pressure.
Choice B rationale: Dopamine receptor activation is not associated with the contraction of skeletal muscle.
Choice C rationale: Activation of dopamine receptors is associated with increased blood pressure and improved renal perfusion.
Choice D rationale: Dopamine receptor activation is not associated with decreased piloerection.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is considered the maximum dose in 24 hours of acetaminophen?

Correct Answer is C

Explanation

A nurse administers a medication that activates dopamine receptors. The nurse should assess the patient for which intended effect: 1/2.

Correct Answer is C

Explanation

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