Assessment
Analgesics
Opioids
Substance Abuse
Nursing Process
100
You have been assigned a four year old child post-op bilat. myringotomy. What tool would you use to assess the childs pain level when awake?
Wong/Baker FACES pain scale
100
What is a common side effect of analgesic administration?
What is constipation.
100
________, is the prototype of opioid that is available in many dosage forms, and has a fairly predictable action?
What is Morphine?
100
Patient in rehab center is experiencing opioid withdrawal symptoms. The nurse should prepare to administer which drug as part of the treatment?
What is methadone?
100
Pt reports history of migraine headaches for past 5 years and has never sought treatment. In developing the care plan for this patient what NANDA Nursing Diagnosis would you select?
What is Chronic Pain r/t inadequate pain management
200
How do you assess the pain of a adult client who is unable to communicate verbally?
What is FLACC scale.
200
Which client has the most immediate need for IV access for stat analgesia with rapid titration? a. sharp chest pain, increased with cough; SOB b. excruciating lower back pain with hematuria c. Acute MI with chest pain d. Severe migraine with elevated BP
What is answer c.
200
What is the number 1 side effect with opioids?
What is respiratory depression?
200
Your patient is a 29 year old male admitted to the ICU with the following symptoms: Restlessness, hyperactive reflexes, talkative, confusion, and periods of panic, tachycardia, and fever. You suspect your patient might be experiencing the effects of taking which substance? a. opiates b. alcohol c. stimulants d. depressants
What is c-stimulants.
200
Provide a nursing intervention for your patients care plan that has pain as a nursing diagnosis?
What is performing comprehensive pain assessment. Consider cultural influences on pain response. Provide analgesic as prescribed Advocate for patient if additional pain relief measures are needed.
300
The nurse is assessing the pain of a patient. What are the five components that should be addressed?
What is PQRST pneumonic.
300
When analgesic is titrated to manage pain, what is the priority goal? a. smallest dose that provides relief with few side effects b. titrate upward until pain free c. titrate downward to prevent toxicity d. ensure dosage is adequate to meet subjective needs of pt.
What is answer a.
300
What is the most common reason for ineffective treatment using opioid analgesics.
What is myths and irrational fears concerning addiction?
300
You are caring for an adult female patient with a diagnosis of chronic alcohol abuse. The nurse should keep in mind that chronic alcohol use might result in which condition?
What is cirrhosis of the liver.
300
Describe a measurable goal for a patient in pain.
What is a pain scale 0-10 pain, the patient will report pain level <3 on 10-29-2013 1400. (this would need to be individualized to specific patients history)
400
Your patient has been given pain medications what are the nursing responsibilities following the medication administration?
What is re-assessment of pain and patient. This usually 30 min after but may vary depending on facility policy and drug used.
400
On the first post op day, client with PCA reports inadequate pain control. What do you do first? a. Deliver bolus dose per standing order b. Contact Dr. to increase the dose c. Try nonpharmacologic comfort measures d. Assess the pain for location, quality, and intensity
What is answer d.
400
You are a nurse with the following order for your patient. Order: Morphine 2-8 mg IV every 2 hours as needed for pain. How will you determine the dosage to administer?
What is range orders policy (Joint Commission Accreditation) & nursing judgment.
400
The WHO (World Health Organization) estimates that _________ is the second (to marijuana) most widely abused illicit drug?
What is amphetamines?
400
You have received report on a patient that has a Nursing Diagnosis: Ineffective coping related to discomfort of PMS AEB: patient complaints of fatigue, irritability, depression, and mood swings. What would be an appropriate nursing intervention for this client?
What is introducing relaxation techniques for the patient to utilize during periods of anxiety.
500
An adult patient has received an opioid and respirations are 6 per minute. What antagonist should be administered to this patient and how much?
What is Narcan (Naxalone) 0.4mg (IM or IV)
500
A client with diabetic neuropathy reports a burning, electrical-type pain in lower extremities, not responding to NSAIDS. Which of the following drugs would most likely be used: a. Amitriptyline(Elavil) b. Corticosteroids c. Dilaudid d. Lorazepam(Ativan)
What is answer a.
500
What drugs are given in conjunction with opioids to enhance the effects and provide additional pain relief.
What is adjuvant drugs (antidepressant & anticonvulsants)
500
What must be administered before glucose infusions for a patient in alcohol withdrawal to prevent Wernicke's encephalopathy?
What is Thiamine.
500
Provide an Evaluative Statement for the following; NSG diagnosis: Ineffective Coping r/t discomfort of premenstrual symptoms AEB reports of fatigue, anxiety, irritability, depression, and mood swings. Nursing Interventions: Assess patient nutritional intake. Identify foods high in caffeine, sugar, and sodium discussing substitutes to decrease these type foods that may encourage irritability and moodiness. Goal or expected outcome: By next month 11-30-2013 pt. will report using a meal plan excluding caffeine, sugar and sodium.
11-30-2013 Outcome met. Patient used meal plan for three balanced meals per day and eliminated all sugar, caffeine, and sodium from diet.
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