This topic contains a solution. Click here to go to the answer

Author Question: A patient has been taking methadone (Dolophine) for 5 months to overcome an opioid addiction. The ... (Read 115 times)

kaid0807

  • Hero Member
  • *****
  • Posts: 515
A patient has been taking methadone (Dolophine) for 5 months to overcome an opioid addiction. The nurse should monitor the patient for which of the following electrocardiographi c changes?
 
  a. Prolonged QT interval
  b. Prolonged P-R interval
  c. AV block
  d. An elevated QRS complex

Question 2

A nurse is preparing a patient for surgery and is teaching the patient about the use of the patient-controlled analgesia pump. The patient voices concern about becoming addicted to morphine. What will the nurse do?
 
  a. Ask the patient about any previous drug or alcohol abuse.
  b. Discuss possible nonopioid options for postoperative pain control.
  c. Suggest that the patient use the PCA sparingly.
  d. Tell the patient that the pump can be programmed for PRN dosing only.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

JaynaD87

  • Sr. Member
  • ****
  • Posts: 368
Answer to Question 1

ANS: A
Methadone prolongs the QT interval. It does not prolong the P-R interval, cause AV block, or produce an elevated QRS complex.

Answer to Question 2

ANS: A
The nurse should remember that addiction to opioids usually occurs in patients who already have tendencies for addiction, so an assessment of previous experiences with addictive substances would be indicated. Postoperative pain should be treated appropriately with medications that are effective. Nonopioid medications are not sufficient to treat postoperative pain. Patients should be encouraged to use the PCA as needed so that pain can be controlled in a timely fashion. PRN dosing is not as effective as dosing that is continuous, so a basal dose should be given as well as a PRN dose.




kaid0807

  • Member
  • Posts: 515
Reply 2 on: Jul 23, 2018
Excellent


carojassy25

  • Member
  • Posts: 299
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

Women are two-thirds more likely than men to develop irritable bowel syndrome. This may be attributable to hormonal changes related to their menstrual cycles.

Did you know?

Children with strabismus (crossed eyes) can be treated. They are not able to outgrow this condition on their own, but with help, it can be more easily corrected at a younger age. It is important for infants to have eye examinations as early as possible in their development and then another at age 2 years.

Did you know?

On average, the stomach produces 2 L of hydrochloric acid per day.

Did you know?

In 2010, opiate painkllers, such as morphine, OxyContin®, and Vicodin®, were tied to almost 60% of drug overdose deaths.

Did you know?

Interferon was scarce and expensive until 1980, when the interferon gene was inserted into bacteria using recombinant DNA technology, allowing for mass cultivation and purification from bacterial cultures.

For a complete list of videos, visit our video library