Increased analgesic effects d enhanced cns

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C. Increased analgesic effects D. Enhanced CNS stimulation E. Increased opioid tolerance A. CORRECT: Dosage of the opioid can be reduced when adjuvant medications are added for pain. B. CORRECT: Adverse effects of the opioid can be reduced when adjuvant medications are added for pain. C. CORRECT: Analgesic effects are increased when adjuvant medications are added for pain. D. CNS stimulation is not enhanced when morphine and carbamazepine are used together for pain relief. E. O pioid tolerance can be decreased when an adjuvant medication is added for pain. A nurse is planning care for a client who has brain cancer and is experiencing headaches. Which of the following adjuvant medications are indicated for this client? A. Dexamethasone B. Methylphenidate C. Hydroxyzine D. Amitriptyline A. CORRECT: Dexamethasone, a glucocorticoid, decreases inflammation and swelling. It is used to reduce cerebral edema and relieve pressure from the tumor. B. T he use of methylphenidate as an adjuvant is to elevate mood and increase pain relief. C. T he use of hydroxyzine as an adjuvant is to decrease anxiety and help the client sleep. D. T he use of amitriptyline as an adjuvant is to relieve neuropathic pain and elevate mood. A nurse is preparing to administer pamidronate to a client who has bone pain related to cancer. Which
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of the following precautions should the nurse take when administering pamidronate? A. Inspect the skin for redness and irritation when changing the intradermal patch. B. Assess the IV site for thrombophlebitis frequently during administration. C. Instruct the client to sit upright or stand for 30 min following oral administration. D. Watch for manifestations of anaphylaxis for 20 min after IM administration. A. T his medication is not administered by the intradermal route. B. CORRECT: Pamidronate is administered by IV infusion. This medication is irritating to veins, and the nurse should assess for thrombophlebitis during administration. C. T his medication is not administered orally. D. T his medication is not administered by the IM route A nurse is planning care for a client who has cancer and is taking a glucocorticoid as an adjuvant medication for pain control. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A. Monitor for urinary retention. B. Monitor serum glucose. C. Monitor serum potassium level. D. Monitor for gastric bleeding. E. Monitor for respiratory depression. A. Monitoring for urinary retention is not necessary because glucocorticoids do not cause this effect. B. CORRECT: Monitoring serum glucose is important because glucocorticoids raise the glucose level, especially in clients who have diabetes mellitus. C. CORRECT: Monitoring serum potassium level is important because glucocorticoids can cause hypokalemia.
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  • Spring '12
  • STAFF
  • Pharmacology, Morphine, Therapeutic effect, Adverse drug reaction

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