A patient reports waking up with frequent headaches and sore ...

[mcmcdaniel]

A patient reports waking up with frequent headaches and sore throat. What question by the nurse is most appropriate?
 
  a. Does acetaminophen (Tylenol) provide relief?
  b. Does your partner say you snore at night?
  c. Do you drink enough water during the day?
  d. Do you ever wake up with night sweats?

Question 2

An older adult patient has been prescribed an opioid to manage chronic pain resulting from a shoulder injury. To eliminate a common barrier to opioid drug compliance, the nurse
 
  a. encourages the patient to use the opioid only as prescribed.
  b. educates the patient about the appropriate management of constipation.
  c. assures the patient that dizziness will de-crease as therapeutic levels are reached.
  d. suggests the patient take the medication with meals or a snack.

[xiazhe]

Answer to Question 1

B
Waking up with headaches and sore throat are manifestations of sleep apnea. Family members often say the patient snores loudly during the night and wakes up gasping. The nurse should as-sess for these other signs of the disorder. The other questions may or may not be appropriate if the patient does not snore at night.

Answer to Question 2

B
Older adults have a high rate of discontinuation of opiates because of the resulting constipation. The treatment for constipation, especially that which is opioid induced, is readily available and should be provided as a preventive measure before starting narcotic pain medication. The other actions do not address this issue.

[mcmcdaniel]

Excellent

[phuda]

Gracias!