[Verified Answer]: What is the most effective medication…

What is the most effective medication schedule that can be implemented today? 4. What side effects will you watch for? 5. How will you know if the medication has been effective? REVIEW QUESTIONS-CONTENT REVIEW Choose the best answer unless directed otherwise. 1. Which of the following definitions of pain is most appropriate to use when planning nursing care? 1. Knife-like sensation along a nerve pathway 2. Burning sensation that accompanies severe injury or trauma 3. Injured tissues responding with release of neurotransmitters that cause a sensation of pressure or discomfort 4. Whatever the experiencing person says it is, occurring whenever the person experiencing it says it does 2. Which of the following terms describes a feeling of threat to one’s self-image or life that may accompany pain? 1. Fear 2. Anxiety 3. Suffering 4. Panic 6. The next morning you decide to administer Tylenol #3 (acetaminophen 300 mg with codeine 30 mg ) for Ms. Murphy’s pain, but it is not effective. Why do you think it did not help? 7. What nondrug therapies might be appropriate for Ms. Murphy? What technique has already been effective for her? 4. Which of the following is the most accurate way to assess the severity of a patient’s pain? 1. Observe for moaning or other physical signs. 2. Watch for elevated blood pressure and pulse. 3. Have the patient rate pain on a standard pain scale. 4. Monitor the frequency with which the patient requests pain medication. 5. Which of the following statements best explains why a patient can be laughing and talking and yet still be in pain? 1. Most patients try to deny their pain because pain is socially unacceptable. 2. Distraction can help relieve pain when used in combination with analgesics. 3. Most patients who are laughing and talking are not in pain. 4. Laughing prolongs the effects of opioids in the body. 3. Which of the following is a common side effect of opioid administration? 1. Constipation 2. Respiratory depression 3. Tachycardia 4. Addiction6. An 82-y answer unless directed otherwise. been receiving intramt in a long-term care facility has for chronic back pamuscular meperidine (Demerol) becomes irritable, pain. After several weeks, the patient behavior. Which which is a change from normal 1. Understand thesponse by the nurse is best? become irritabl chronic pain can cause a patient to 2. Obtain an ortable. with the order for an adjuvant sedative to administer 3. Request meperidine. mental a psychiatric referral to evaluate the patient’s 4. Consult with the registered nurse or health care provider about changing to a different analgesic. 7. A nurse is caring for a patient who reports being in severe pain. The patient has an order for hydrocodone/ acetaminophen (Norco) 2 tabs every 6 hours as needed for pain. Before providing the medication, which of the following actions should the nurse take? 1. Verify the patient’s liver and kidney function studies are within normal limits. 2. Determine the patient’s current pulse rate and blood glucose level. 3. Assess the patient’s pain level and respiratory rate. 4. Identify the emotional or physical cause of the patient’s pain. 8. A patient with severe pain is receiving narcotic pain medication via a patient-controlled analgesia pump. The nurse notes that the patient is lethargic and difficult to arouse with a respiratory rate of 7 breaths per minute. After informing the registered nurse, which of the following drugs does the nurse anticipate will be ordered? 1. Naloxone (Narcan) 2. Methadone (Dolophine) 3. Hydrocodone/acetaminophen (Norco) 4. Phenytoin (Dilantin) 10. A patient has a patient-controlled analgesia pump following spinal surgery. The patient appears to be in Wain but is too drowsy to push the button on the pum in 1. Push the button for the patient. 2. Instruct the patient’s family member to push the button, not to exceed every 10 minutes. 3. Assess the patient’s vital signs. 4. Increase the dose of medication delivered in each injection. 11. A patient with a known history of cocaine abuse is admitted after a motorcycle accident. The patient calls you into the room and says, “I need something for this pain. Now.” Which assumption by the nurse is best? 1. The patient is withdrawing from cocaine and needs an opioid to reduce symptoms. 2. The patient is in pain and needs an analgesic. 3. The patient is trying to establish control over the situation. 4. The patient is faking pain to gain access to opioids. 12. The nurse is providing care for a patient in the emergency department who is experiencing a migraine headache. The patient reports taking two extra-strength acetaminophen (Tylenol) 500 mg tablets every 6 hours for the past few days. The nurse would be most concerned by which of the following statements by the patient? 1. “I usually drink three or four beers a day.” 2. “My headache pain is six out of ten.” 3. “I’m having difficulty sleeping”. 4. “It hurts even worse with these bright lights.” 9. A patient has chronic pain for which no cause can be found. The health care provider orders a placebo. Which response by the nurse to the health care provider is best? 1. “I will give the placebo and document the patient’s response.” 2. “I know if the placebo helps the pain, then the pain is not real.” 3. “I am not comfortable administering this placebo without the patient’s consent.” 4. “May we alternate the placebo with an opioid order?”CULTURALLY RESPONSIVE CARE following a hip fracture. his mother several times a small bottle of oil with him that he will often bring a and then use to make the sign of the cross on her head. What is the best response? 1. Ask the son about the oil and oth that are important in healing. 2. Ask the son to refrain from using any substances on the patient’s skin without approval from the doctor. 3. Document what you saw and continue passing medications. 4. Instruct the nursing assistants to go to the room and watch what else he does. 2. How might you further engage Mrs. Walker’s son in her care? 10 mg of morphine with the registered nurse, who what give the intravenous medication. What class of drugs does morphine belong to? What is its mechanism of action? Why it important for you to be aware of these things the drug? pain. at 1400 , spendectomy at 0800^10 visiting with her family. She telting up for her pain medication. You check her ^s he is hum 4 hours as needed for pain. 5 to 10 mg intraven 1. List at least seven a 3. When you go to check on Mrs. Walker a few hours later, you notice that she is frowning, her teeth are clenched tight, and she is wringing her hands. You ask her if she is having any pain, and she responds, “No.” How do you respond? 1. Say, “Okay” and document that the patient currently has no reported pain. 2. Advise the patient that it is time for her next scheduled pain medication and go retrieve it. 3. Tell the patient that you noticed her frowning and clenching her teeth, and ask if her hip is sore or if she is uncomfortable. 4. Call the patient’s son and ask him to talk to her about being honest about her pain.