A nurse evaluates a client's patient-controlled analgesia (PCA) ...

[renzo156]

A nurse evaluates a client's patient-controlled analgesia (PCA) pump and notices 100 attempts within a 30-minute period. Which is the best rationale for assessing this client for substance use disorder?
 
  A. Narcotic pain medication is contraindicated for all clients with active substance-use problems.
  B. Clients who are regularly using alcohol or benzodiazepines may have developed cross-tolerance to analgesics and require increased doses to achieve effective pain control.
  C. There is no need to assess the client for substance use disorder. There is an obvious PCA malfunction.
  D. The client is experiencing symptoms of withdrawal and needs to be accurately assessed for lorazepam (Ativan) dosage.

Question 2

The nurse is developing interventions to promote socialization in a client with moderate dementia. Which of the following provides a safe and secure environment for the client?
 
  A) A card game with other clients
  B) An activity with the nurse
  C) Decorating a bulletin board with the group
  D) Morning stretch group with music

[mcinincha279]

Answer to Question 1

B
The nurse should assess the client for substance use disorder because clients who are regularly using alcohol or benzodiazepines may have developed cross-tolerance to analgesics and require increased doses to achieve effective pain control. Cross-tolerance occurs when one drug lessens the client's response to another drug.

Answer to Question 2

B
Feedback: The client has to interact only with the nurse, who will behave in a predictable way and will focus on the client's needs, without undue or unexpected disruptions. Group activities do not provide a safe and secure environment as does an activity done with the nurse.

[renzo156]

Thank you

[mcinincha279]

No problemo