Exhibits
Mrs. Watson tells Lana that she is worried about getting addicted to the morphine because she has heard that it can happen. How should Lana respond? (Case Study #2)
"Don't worry. The cancer prevents you from becoming addicted."
"That is a valid worry. I wouldn't want to become addicted."
"My cousin was addicted to pain killers when he had cancer."
Because you have severe pain, the medication is necessary. There is little chance of addiction as long as you take the medication as prescribed.
The Correct Answer is D
A. "Don't worry. The cancer prevents you from becoming addicted." This statement is incorrect because having cancer does not prevent addiction. However, appropriate pain management in patients with severe pain does not typically lead to addiction.
B. "That is a valid worry. I wouldn't want to become addicted." While acknowledging the patient’s concern is important, this response reinforces fear rather than providing reassurance based on medical evidence.
C. "My cousin was addicted to pain killers when he had cancer." This response is inappropriate because it is anecdotal and does not address the patient’s concern with factual medical information.
D. "Because you have severe pain, the medication is necessary. There is little chance of addiction as long as you take the medication as prescribed." This is the best response because it reassures the patient that pain control is a priority and that, when used correctly, the risk of addiction is minimal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Posterior-to-anterior comparison. While both the anterior and posterior lung fields should be assessed, auscultation should be performed in a systematic side-to-side manner rather than switching between front and back.
B. Side-to-side comparison. The correct method for auscultating breath sounds is to compare sounds bilaterally (right lung to left lung) at each level. This helps identify asymmetrical lung sounds, which could indicate conditions like pneumonia, pleural effusion, or atelectasis.
C. Top-to-bottom comparison. While lung auscultation progresses from the apices to the bases, it should always be done in a side-to-side manner to detect differences between the lungs.
D. Interspace-by-interspace comparison. Although breath sounds are assessed at different intercostal spaces, the key principle is to compare sounds bilaterally at each level, rather than focusing solely on individual interspaces.
Correct Answer is A
Explanation
A. Body temperature follows a circadian rhythm, typically being lowest in the early morning (around 4–6 AM) and peaking in the late afternoon or evening.
B. Stress activates the sympathetic nervous system, which increases metabolic activity and raises body temperature rather than lowering it.
C. Physical activity generates heat, leading to an increase in body temperature, not a decrease.
D. While some surgical preparations involve cooling the patient, body temperature is not naturally lower before surgery. Instead, preoperative anxiety may even cause a slight increase in temperature.
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