The nurse has developed a pain management plan for a client who has a history of opioid drug abuse.
Which of the following statements by the client demonstrates understanding of the pain management plan?
“As soon as I feel any pain, I will ask the nurse to administer my medication.”
“My medication will be given at the scheduled times to best manage my pain.”
“The nurse will administer less pain medication than ordered due to my drug addiction.”
“I will not be allowed to take any narcotics for pain during my hospital admission.”.
The Correct Answer is B
“My medication will be given at the scheduled times to best manage my pain.” This statement demonstrates understanding of the pain management plan because it shows that the client knows the importance of preventing pain from becoming severe by taking medication regularly. Scheduled administration of analgesics is more effective than administering them on demand.
Choice A is wrong because it implies that the client will wait until the pain is severe before asking for medication, which can make it harder to control.
Choice C is wrong because it suggests that the client expects to receive inadequate pain relief due to their history of opioid abuse, which is not ethical or evidence-based.
Choice D is wrong because it indicates that the client believes they will be denied any narcotics for pain, which is also not ethical or
evidence-based. Clients with a history of opioid abuse can still receive opioids for acute pain, but they may need higher doses or more frequent administration to achieve adequate analgesia.
Normal ranges for vital signs are as follows: respiratory rate 12-20 breaths per minute, heart rate 60-100 beats per minute, blood pressure 120/80 mmHg, temperature 36.5-37.5°C (97.7- 99.5°F).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Illness in one family member can affect the other family members. This is because family-centered nursing care recognizes that the family is the basic unit of society and that each member's health influences the whole family's health. Family-centered nursing care also involves collaborating with the family to provide care that meets their needs, preferences, and values.
Choice A is wrong because the nurse does not provide family-centered nursing care to avoid the client’s loneliness. Loneliness is a psychosocial need, not a physiologic one, and it can be addressed by other means than involving the family.
Choice B is wrong because the client’s compliance with medical instructions is not the primary goal of family-centered nursing care. Compliance is influenced by many factors, such as motivation, education, culture, and trust, and it may not always depend on the family’s involvement.
Choice C is wrong because the family’s willingness to listen to instructions is not the main reason for providing family-centered nursing care. The nurse should respect the family’s autonomy and decision-making, and not impose instructions that may conflict with their beliefs or values.
Correct Answer is C
Explanation
Just prior to the next scheduled dose. A trough level is the lowest concentration of a drug in the blood, and it is measured just before the next dose is due to be administered.
This helps to ensure that the drug level does not fall below the therapeutic range or rise above the toxic range.
Choice A is wrong because every morning at 08:00 AM (0800) is not a consistent time interval for a drug that is administered every twenty-four hours.
The trough level should be measured at the same time before each dose.
Choice B is wrong because halfway between next scheduled dose is not a trough level, but a midpoint level.
This does not reflect the lowest concentration of the drug in the blood.
Choice D is wrong because two hours after a scheduled dose is not a trough level, but a peak level. This is the highest concentration of the drug in the blood, and it is measured after the drug has been absorbed and distributed. Peak levels are no longer routinely recommended for vancomycin.
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