Question

1. Use the following scenario to answer questions 1 through 4: Scenario: You have been assigned to care for Jack, a 15-year-old client who sustained multiple fractures of the lower extremities in a skiing accident. Morphine sulfate is one of the drugs used in his care. Jack’s parents are aware of the need for various treatments, including the use of morphine sulfate to treat his pain, but they worry he may become addicted to the medication. When addressing the parent’s concern, which response by the nurse would be incorrect?

a.  “For most clients, the dose used and the duration of treatment are insufficient to cause significant dependence.”

b.  “It is possible that Jack will develop a physical dependence to this medication.”

c.  “I understand your concern about addiction, but morphine is the least addictive opiate for children.”

d. “If physical dependence occurs, clients rarely develop addictive behavior after their pain has subsided.”

2. Which statement would be the most helpful to Jack and his parents?

a. Morphine is a common drug of abuse in the general population but is generally less addictive in children.

b. The development of opioid dependence is rare when opioids are used correctly.

c. Only about 30% of people are prone to drug addiction and abuse.

d. Jack only as needed is the best way to treat pain without the risk of addiction.

3. The provider orders Jack’s morphine to be administered via a client-controlled analgesia pump. His parents express concern about Jack receiving an overdose of morphine. What statement by the nurse is most appropriate?

a. Instruct the parents not to activate the device when their child is sleeping.

b. Reassure the parents that drug overdose is not possible with PCA.

c. Suggest that the child use the PCA sparingly.

d. Tell the client that the pump can be programmed for PRN dosing only.

4. Because Jack has been placed on client-controlled analgesia (PCA) pump with morphine, the nurse understands that which of the following precautions may be required because of a potential adverse effect of this drug?

a. Monitoring liver function tests

b. Administering antidiarrheal drugs

c. Placed on fall precautions.

d. Administering inhaled beta-adrenergic drugs