A physician has ordered a PRN pain medication for a client. Which ...

[Bob-Dole]

A physician has ordered a PRN pain medication for a client. Which of the following is a guideline when a client asks for a PRN pain medication?
 
  A) First consult the MAR to determine when the client received the last dose.
  B) Administer the PRN medication as soon as the client asks for it.
  C) Make sure the client is experiencing severe pain before administering the dose.
  D) If the pain is extreme and the prescribed time has not elapsed, notify the physician.

Question 2

The nurse administering oxygen to clients with respiratory disorders is careful to monitor concentrations to prevent oxygen toxicity. How does this adverse reaction manifest itself?
 
  A) Changes in heart rate
  B) Changes in level of consciousness
  C) Changes in lung structure
  D) Changes in lung tissue

[jaygar71]

Answer to Question 1

D
Feedback:
If a client asks for a PRN medication, the nurse should first assess what symptoms have prompted the client's request. Next, consult the MAR to determine when the client last received the PRN or a regularly scheduled pain medication, and if the prescribed period has elapsed, administer the medication as soon as possible. If the prescribed period has not elapsed, the nurse should inform the client when he or she can receive the next dose. If the pain is extreme, the nurse should consult the primary provider to determine if an additional dose or another medication can be given.

Answer to Question 2

D
Feedback:
Oxygen given in high concentration over many days can result in oxygen toxicity, manifested as changes in lung tissue. In some people, increased oxygen concentrations also affect their ventilatory drive control mechanisms, which actually weaken the stimulus to breathe.

[Bob-Dole]

Excellent

[ricroger]

Gracias!