Author Question: The nurse is discussing pain control with an older patient who has been prescribed an opiate. When ... (Read 34 times)

dalyningkenk · **on:** Jul 11, 2018

The nurse is discussing pain control with an older patient who has been prescribed an opiate. When the patient expresses concerns about the diminishing effect that the medication has had on the pain, the nurse responds

a. It appears that the dosage you take needs to be adjusted upward.
b. We need to be concerned about you de-veloping a drug tolerance.
c. This drug category is well known for its low ceiling effect.
d. Opiate addiction is a concern when to-lerance occurs.

Question 2

What actions by the nursing staff in a long-term care facility display an awareness of resident rights? (Select all that apply.)

a. Getting informed consent for the use of an antipsychotic medication
b. Reminding the unhappy resident and fam-ily about grievance processes
c. Ensuring that all residents are asked if they wish to vote in an election
d. Giving residents information on the om-budsman's name and address
e. Assessing residents for their ability to safely administer their medications

apple · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A
Tolerance is defined as the diminished effect of a drug while maintaining the same dosage over time. It is a characteristic of opiates when given over time. With opiates, some individuals might need higher and higher doses of a drug to maintain effectiveness. This should not be confused with addiction.

Answer to Question 2

A, B, C, E
Long-term care facilities are responsible for honoring the many rights of their residents, including setting up informed consent processes for side rails and chemical restraints, having a posted grievance policy and process, pursuing the residents' right to vote, assessing residents for the ability to safely administer their own medications, and posting information about the ombudsman program.