Before integrating humor in the care of an Asian patient, the nurse should:

Ask the patient whether jokes are understood.

Develop jokes about the doctors and nurses.

Ask the patient's feelings about hearing a joke or funny story.

Develop jokes about the patient's condition.

Answer and Explanation

The Correct Answer is C

Choice A reason: Understanding jokes assumes comprehension but ignores cultural comfort; humor’s acceptability varies, and this misses emotional readiness assessment.

Choice B reason: Jokes about staff may offend or confuse; without patient input, this risks cultural insensitivity, especially in Asian contexts valuing respect for authority.

Choice C reason: Asking feelings respects cultural norms; humor’s therapeutic effect depends on patient receptivity, ensuring it aligns with individual and cultural preferences.

Choice D reason: Joking about conditions can distress; it’s culturally inappropriate in many Asian settings, potentially worsening trust or emotional state without consent.

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Correct Answer is B

Explanation

Choice A reason: Checking with another nurse may occur, but it’s not mandatory for all schedule II drugs; documentation is the primary legal responsibility to track controlled substances accurately.

Choice B reason: Signing out on a narcotic sheet is required; schedule II drugs like opioids need strict tracking to prevent diversion, ensuring accountability per federal and hospital regulations.

Choice C reason: Leaving medication at the bedside violates security; schedule II drugs must remain controlled, as unattended narcotics risk theft or misuse, breaching safety protocols entirely.

Choice D reason: Extra water is irrelevant to responsibility; it’s a hydration tip, not a legal or safety duty tied to administering highly regulated schedule II controlled substances.

A. Toxic B. Allergic C. Idiosyncratic D. Therapeutic

Correct Answer is A

Explanation

Choice A reason: Respiratory depression from high morphine doses signals toxicity; opioids suppress the brainstem’s respiratory center, exceeding safe therapeutic levels at this extent.

Choice B reason: Allergic reactions involve immunity (e.g., rash, anaphylaxis); slowed breathing isn’t allergic, but a dose-dependent opioid effect on respiration.

Choice C reason: Idiosyncratic means unexpected (e.g., paradoxical excitement); respiratory depression is a predictable morphine overdose sign, not an unusual reaction.

Choice D reason: Therapeutic effects relieve pain; 8 breaths/minute is dangerously low, beyond intended analgesia, indicating a harmful, not beneficial, outcome.

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Before integrating humor in the care of an Asian patient, the nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has an order to administer a schedule II drug to a patient. When working with medications of this type, the responsibility of the nurse is to:

Correct Answer is B

Explanation

The patient's respirations dropped from 14 breaths/minute to 8 breaths/minute after receiving a large dose of morphine. Which term accurately describes the patient's reaction to the morphine?

Correct Answer is A

Explanation

The nurse is caring for a client who has difficulty swallowing a large tablet of a prescribed drug. What action should the nurse take first?

An elderly patient who lives in a skilled nursing facility and who likes to walk is taking a medication that lowers blood pressure by dilating blood vessels. The best nursing action for this patient is to:

The patient crushes extended-release pain medication tablets in order to obtain relief immediately. Which term describes the action of this patient?

When preparing to administer an intradermal injection to an adult, the nurse ensures that the dose amount does not exceed 0.1 mL. A 1 mL tuberculin syringe is used with a 25-gauge needle and is administered at which angle?

A primary health-care provider prescribes a medication that must be administered transdermal. Which information about the route of administration does the nurse understand is related to a drug prescribed to be administered transdermal?

The nurse notes that the patient is scratching and has hives 2 hours after receiving a dose of antibiotic medication. The patient soon starts having difficulty breathing and his blood pressure drops. What is the correct analysis of the patient's condition?

A patient in pain requests the prescribed pain medication, which is an opioid. Which nursing assessment is essential before administering the opioid?

Using the label, what is the trade name of the medication? (No label provided; assuming Zestril from prior context.)