When developing the plan of care for a patient with chronic pain, the nurse plans interventions based on the knowledge that chronic pain is most effectively relieved when analgesics are administered in what matter? a. On a PRN (as needed) basis b. Conservatively c. Around the clock (ATC) d. Intramuscularly
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- When developing the plan of care for a patient with chronicpain, the nurse plans interventions based on the knowledgethat chronic pain is most effectively relieved when analgesicsare administered in what matter?a. On a PRN (as needed) basisb. Conservativelyc. Around the clock (ATC)d. IntramuscularlyFor best results when treating se-ere pain associated with pathologic spinal fractures related to metastatic bone cancer, the nurse should remember that the best type of dosage schedule is to administer the pain medication a )as needed. b) around the clock. c) on schedule during waking hours only. d )around the clock, with additional doses as needed for breakthrough pain.When assessing pain in a child, the nurse needs to be awareof what considerations?a. Immature neurologic development results in reducedsensation of pain.b. Inadequate or inconsistent relief of pain is widespread.c. Reliable assessment tools are currently unavailable.d. Narcotic analgesic use should be avoided.
- A patient with bone pain caused by metastatic cancer will be receiving transdermal fentanyl patches. The patient asks the nurse what benefits these patches ha-e. The nurse’s best response includes which of these features? a )More constant drug le-els for analgesia b )Less constipation and minimal dry mouth c )Less drowsiness than with oral opioids d )Lower dependency potential and no major ad-erse effectsWhich action should the nurse take to assess for analgesic tolerance in a client who is unable to communicate? A. Review the client’s laboratory values for a change in peak and trough levels of the analgesic B. Prolong the interval between analgesic medication doses and monitor the client’s vitals signs C. Observe the client for the presence of pain behaviors before the next analgesic dose is due D. Ask family members to report behavior is suggesting that the client pain has returnedA nurse administering niacin would implement which action to help to reduce adverse effects? a) Give the medication with grapefruit juice.b )Administer a small dose of aspirin or an NSAID 30 minutes before the niacin dose.c )Administer the medication on an empty stomach.d) Have the patient increase dietary fiber intake
- 1). Due to the client’s diagnosis of low back pain, cyclobenzaprine is prescribed. Which instructionsshould the nurse teach the client? Select all that applyA. Take the medication just before leaving home for work each day.B. Drink a full glass of water with each dose of medication.C. The medication can cause drowsiness that will make driving unsafe.D. Divide the dose of medication between early morning and bedtime.E. Encourage the client to change positions slowly. 2).The nurse working in the postanesthesia care unit (PACU) recovering a male client after anexploratory laparotomy administers the prescribed hydromorphone intravenously. Five minuteslater the nurse assess the client’s respirations at 8 breaths per minute. Which interventionshould the nurse implement first?A. Ask the anesthesiologist to come and assess the client.B. Administer naloxone intravenously.C. Re-assess the client’s respiratory status in 20 minutes.D. Use an ambu bag and ventilate the client. 3).An adolescent…After receiving the third dose of a new oral anticoagulant prescription, Which action should the nurse implement? Select all A. Obtain a soft Bristol toothbrush B. Provide a PRN NSAID for gum discomfort C. Review most recent coagulation lab values D. Complete a medication variance report E. Report findings to healthcare providerAn elderly patient is receiving antihistamine therapy. What interventions specific to this medication does the nurse implement? (Select all that apply). A. Assess the patient for delirium, confusion and dizziness. B. Auscultate the patient's breath sounds C. Provide a low residue diet. D. Encourage the patient to ambulate E. Monitor the patient's urine output