Question

UNIT TWO Understanding Health and Illness REVIEW QUESTIONS-TEST PREPARATION CHA Nur Choose the best aurer unless directed otherwise 6 An 2-year-old patient in a long-term care facility has been receiving intramuscular meperidine (Demerol) for chronic back pain. After several weeks, the patient becomes imitable, which is a change from normal behavior. Which response by the nurse is best? 1. Understand that chronic pain can cause a patient to become irritable. 2. Obtain an order for an adjuvant sedative to administer with the meperidine. 1. Request a psychiatric referral to evaluate the patient's mental status 4. Consult with the registered nurse or health care provider about changing to a different analgesic. 10. A patient has a patient-controlled following spinal surgery. The patien nain but is too drowsy to push the bu Which response by the nurse is com 1. Push the button for the patient 2. Instruct the patient's family member bution, not to exceed every 10 3. Assess the patient's vital signs Increase the dose of medication del injection Name: oy of cocaine Date: Course: ech Instruct 11. A patient with a known history of admitted after a motorcycle accident. The you into the room and says, "I need pain. Now." Which assumption by the The patient is withdrawing from cane an opioid to reduce symptoms 2. The patient is in pain and needs anal 3. The patient is trying to establish con situation. 4. The patient is faking pain to gain acces AUDIO Le to the 7. A nurse is caring for a patient who reports being in severe pain. The patient has an order for hydrocodone acetaminophen (Norco) 2 tahs 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. Michael 1. What sy 12. The nurse is providing care for a patientin emergency department who is experiencing headache. The patient reports taking two acetaminophen (Tylenol) 500 mg tablets for the past few days. The nurse would be concerned by which of the following the patient? 1. "I usually drink three or four beers as 2. "My headache pain is six out of ten." 3. "I'm having difficulty sleeping." 4. "It hurts even worse with these bright lips 2. Why ar 3. Why di 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 fol- lowing drugs does the nurse anticipate will be ordered? 1. Naloxone (Narcan) 2 Mechadone (Dolophine) 3. Hydrocodone/acetaminophen (Norco) 4. Phenytoin (Dilantin) VOCABI F in the 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 het? 1. "I will give the placebo and document the patient's 1 Loss of 2. Loss of response." 4. Dryma 5. That 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? 7. Substa 9. When

Answer 1

Answer:

6. 3. Request a psychiatric referral to evaluate the patient's mental status

Reason: Before changing or initiating a medication, proper assessment is required for the patient.

7.1. Verify the patient's liver and kidney function studies are within normal limits.

Reason: To prevent the complications.

8.3. Hydrocodone/acetaminophen (Narco)

Reason: It is non opioid analgesic

9.3. "I am not comfortable administering placebo without patient's consent.

Reason: Patient's consent is required prior to administration of placebo