A client experiencing pain related to cancer reports that the ...

[tth]

A client experiencing pain related to cancer reports that the pain is becoming an increasing problem and voices an interest in advancing to stronger medications. The client has a history of renal problems.
 
  When considering options that the physician may employ, the nurse should consider which of the following factors?
  A) Meperidine is the most versatile opioid available.
  B) Fentanyl is often the first opioid tried because of the low incidence of side effects.
  C) Propoxyphene is a viable option for this client.
  D) Oral morphine may be a starting point to be considered for this client.

Question 2

An emergency room nurse is caring for an older patient brought in by a neighbor. The neighbor states that the patient lives with a son who drinks a lot.
 
  What does the nurse assess that suggests elder neglect?
  Standard Text: Select all that apply.
  1. Thick, yellow fingernails
  2. Pressure ulcer on the sacrum
  3. Dry, cracked lips and tongue
  4. Small skin tears to the right elbow
  5. Cracked, dry skin on the lower legs bilaterally

[bhavsar]

Answer to Question 1

D

Answer to Question 2

2,3
Rationale: Thick, yellow fingernails could be an expected finding in an older patient and not indicative of neglect.

[tth]

Excellent

[tkempin]

Thanks for the timely response, appreciate it