Author Question: A resident of a long-term care facility has been experiencing pain associated with sciatica, a ... (Read 43 times)

EY67 · **on:** Jul 11, 2018

A resident of a long-term care facility has been experiencing pain associated with sciatica, a health problem that has not previously been present. Which intervention should the nurse implement first to help control this patient's pain?

A) Provide morphine or codeine
B) Prepare a dose of acetaminophen
C) Implement nonpharmacologic measures
D) Administer fentanyl or sustained-release oxycodone

Question 2

Which of the following older adults with chronic conditions is most likely to have the greatest care needs?

A) An 80-year-old woman with varicose veins who has just been diagnosed with osteoarthritis.
B) A 74-year-old man with macular degeneration and type 1 diabetes.
C) A 77-year-old man who has long-standing hypertension and is displaying early signs of chronic renal failure.
D) An 84-year-old woman who lives with severe hearing loss and recurrent hemorrhoids.

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

Answer to Question 1

C
Feedback:
Nursing guidelines for older adults with pain include exploring nonpharmacologic means to manage pain first. If nonpharmacologic measures are unsuccessful, begin with the weakest type and dose of analgesic and gradually increase so that the patient's response can be evaluated. Morphine, codeine, fentanyl, and oxycodone should be used carefully in the older patient.

Answer to Question 2

B
Feedback:
Visual impairment is likely to impact significantly the ability to monitor blood glucose levels and administer insulin. These challenges likely supersede those of the other older adults in answers A, C, and D.