Author Question: The nurse is performing the shift assessment on the client. During the assessment the nurse notes ... (Read 109 times)

fnuegbu · **on:** Jul 11, 2018

The nurse is performing the shift assessment on the client. During the assessment the nurse notes the client is demonstrating myoclonic jerking movements. The nurse completes the assessment and finds nothing else abnormal.

A review of the medication record reveals the client has been taking morphine to manage cancer-related pain. The client has a variable dosage of morphine IV ordered. What action is indicated at this time?
A) The nurse will need to contact the physician.
B) Document the findings and continue to observe the client.
C) Reduce the dosage administered to the lowest amount ordered.
D) Order lab testing to determine toxicity levels.

Question 2

The daughter of an older patient who is a resident of a nursing home suspects the patient is a victim of abuse. What should the nurse suggest that the daughter do about this situation? Standard Text: Select all that apply.

1. Visit the facility at varied times.
2. Do nothing until evidence is obtained.
3. Realize that the patient can be confused.
4. Participate in the resident's council.
5. Actively participate in care plan meetings.

stallen · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A

Answer to Question 2

1,4,5
Rationale: For the older adult living in long-term care facilities, the California Advocates for Nursing Home Reform recommend that family should visit the facility at varied times.