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mouth are also adverse effects, not diarrhea and increased secretions. Facial flushing is not an identified adverse effect of phenelzine.Question 111 out of 1 pointsThe wife of a patient who is taking haloperidol calls the clinic and reports that her husband has taken the first dose of the drug and it is not having a therapeutic effect. An appropriate response by the nurse would beResponse Feedback:The nurse should instruct the wife to continue offering her husband the drug and that it will probably take several days to reach its full therapeutic effect. The dosage would not be increased, decreased, ordiscontinued.Question 121 out of 1 points
An elderly woman is slated for a hemiarthroplasty (hip replacement surgery) after falling and breaking her hip on the stairs outside her home. The woman's pain in the time since her injury has been severe, and her care team has been treating it with morphine. Which of the following administration schedules is most likely to control the patient's pain?Response Feedback:The use of long-acting analgesia combined with short-acting opioids for breakthrough pain is a proactive pain management technique that maximizes therapeutic benefit while minimizing the risks of adverse effects.Question 131 out of 1 pointsA homeless man who is well known to care providers at the local hospital has been admitted to the emergency department after having a seizure outside a mall. The man is known to be a heavy alcohol user and is malnourished with a very low body mass index. How are this patient's characteristics likely to influence possible treatment with phenytoin?Response Feedback:A protein deficit puts the patient at greater risk for having greater amounts of free, active drug in the blood because less protein albuminis available for binding than would normally be expected. Alcohol doesnot compete with phenytoin for binding sites and the drug is not necessarily contraindicated with recent alcohol intake, though alcohol does influence the metabolism of phenytoin. Oral phenytoin would not significantly minimize the risk of adverse effects.Question 141 out of 1 pointsA 26-year-old professional began using cocaine recreationally several months ago and has begun using the drug on a daily basis over the past few weeks. He has noticed that he now needs to take larger doses of cocaine in order to enjoy the samehigh that he used to experience when he first used the drug. A nurse should recognize that this pattern exemplifiesResponse Feedback:With drug use over time, tolerance develops. Tolerance occurs when the body develops a natural resistance to the drug's physical or euphoric effects, making it necessary to take increasing doses more frequently to achieve the desired effect.Question 151 out of 1 pointsA patient who is experiencing withdrawal from heavy alcohol use have developed psychosis and been treated with haloperidol. Which of the following assessment findings should prompt the care team to assess the patient for neuroleptic malignant syndrome?