A male client who is recovering in the hospital from ...

[sabina]

A male client who is recovering in the hospital from complications of total hip arthroplasty has orders for 5 to 10 mg of oxycodone as needed that can be administered q4h.
 
  In previous days, the client claimed relief with 5 mg doses but for the past 24 hours he has requested 10 mg doses. What is the most likely explanation for this phenomenon? A) The client is seeking the pleasurable effects of this opioid.
  B) The client is adopting a dependent role in his recovery.
  C) The client is developing a tolerance to the drug.
  D) The client is becoming increasingly anxious about his lack of recovery.

Question 2

A nurse who is left-handed is applying sterile gloves for a procedure. What is the correct procedure for this nurse?
 
  a. Glove the left hand first by grasping 2-inch cuff with thumb and the first two fingers of the right hand.
  b. Glove right hand first by grasping 2-inch cuff with thumb and the first finger of the left hand.
  c. Glove either hand first by grasping 2-inch cuff with thumb and the first two fingers of the right hand.
  d. Glove the left hand first by grasping 2-inch cuff with thumb and the second finger of the right hand.

[josephsuarez]

Answer to Question 1

C
Feedback:
Nurses often assume that a client's desire to experience the drug's pleasant effects motivates his or her desire for frequent doses of narcotics. What may be happening is that the prescribed dose or frequency of administration is not controlling the pain, a phenomenon that occurs as clients develop drug tolerance. This is more likely than the client's adoption of a dependent role or development of anxiety.

Answer to Question 2

A
When applying sterile gloves for a procedure, glove the dominant hand first by grasping a 2-inch cuff with the thumb and first two fingers of the nondominant hand.