The nurse is caring for a client in the hospital who has been taking an analgesic for pain related to a chronic illness and has developed a tolerance to the medication. What is the appropriate action by the nurse?

Suggest a consultation with a psychiatrist to treat the client's addiction.

Inform the client that they will not be able to receive more medication than the health care provider has prescribed.

Tell the client the nurse will ask the health care provider to prescribe a non-narcotic analgesic.

Consult with the prescriber regarding the need for an increased dose of the drug and not to reduce the frequency of administration.

Answer and Explanation

The Correct Answer is D

A. Suggest a consultation with a psychiatrist to treat the client's addiction: Tolerance is a physiological response to long-term opioid use, not necessarily a sign of addiction. Labeling the client as addicted without behavioral signs of misuse is inappropriate and stigmatizing.
B. Inform the client that they will not be able to receive more medication than the health care provider has prescribed: This response dismisses the client's need for adequate pain control. Tolerance may require dose adjustment, and concerns should be communicated compassionately to the prescriber.
C. Tell the client the nurse will ask the health care provider to prescribe a non-narcotic analgesic:
Switching to a non-narcotic medication may not provide effective relief for someone with a chronic condition and established tolerance. Medication adjustments should be based on the client’s needs and pain response.
D. Consult with the prescriber regarding the need for an increased dose of the drug and not to reduce the frequency of administration: Tolerance may require a dose increase to maintain pain relief. The nurse’s role includes advocating for appropriate pain management and collaborating with the provider for safe and effective adjustments.

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Free Nursing Study Resources

Correct Answer is ["A","C","D"]

Explanation

A. Right extremity comparable in size to left: Reduction in swelling indicates improved venous return and resolution of the thrombus. Symmetry between extremities suggests successful clot dissolution and reduced obstruction in the affected vein.
B. No bleeding or bruising noted: While this is a desirable side effect outcome, it is not a direct measure of thrombolytic effectiveness. Thrombolytics carry bleeding risk, but the absence of bruising doesn’t confirm clot resolution.
C. Right extremity pink: A pink, well-perfused extremity suggests adequate blood flow, which reflects successful reperfusion. This indicates improved circulation after clot breakdown and is a positive therapeutic result.
D. Client denies pain: Pain is a hallmark symptom of DVT due to inflammation and obstruction. Decreased or absent pain after thrombolytic therapy reflects clinical improvement and reduced clot burden.
E. Pedal pulse thready: A thready pulse may indicate decreased perfusion and is not a reassuring finding. Effective thrombolytic therapy should lead to strong, palpable pulses if circulation has improved.

A. Metabolic acidosis B. Respiratory acidosis C. Respiratory alkalosis D. Metabolic alkalosis

Correct Answer is D

Explanation

A. Metabolic acidosis: This condition typically results from excessive acid accumulation or bicarbonate loss, such as in kidney failure or diarrhea. It is not associated with gastric fluid loss via suction.
B. Respiratory acidosis: Respiratory acidosis is caused by hypoventilation leading to CO₂ retention. It is unrelated to nasogastric suction and does not reflect the primary concern for this client.
C. Respiratory alkalosis: This occurs due to hyperventilation and excessive loss of CO₂, often from anxiety or pain. It is not a risk in a client with GI fluid loss from suction.
D. Metabolic alkalosis: Nasogastric suction removes hydrochloric acid from the stomach, leading to a loss of hydrogen ions. This results in an increased bicarbonate concentration, predisposing the client to metabolic alkalosis.

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The nurse is caring for a client in the hospital who has been taking an analgesic for pain related to a chronic illness and has developed a tolerance to the medication. What is the appropriate action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is evaluating the expected outcomes following thrombolytic therapy for a right leg deep vein thrombosis. Which finding(s) confirms a positive outcome? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

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Correct Answer is D

Explanation

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