Question

Understanding Health and Miness UNIT TWO ery. The patient REVIEW QUESTIONS-TEST PREPARATION is too drowsy to pusn the button Choose the best awer les directed otherwise 6 An 2-year-old patient in a long-term care facility has been moving intramuscular meperidine (Demerol) for chronic hack pain. After several weeks, the patient becomes irritable, which is a change from normal behavice which response by the nurse is best? 1 Understand that chronic pain can cause a patient to become intable 2 Ocalan 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 pati pain but is too drowsy to push the Which response by the nurse is on 1. Push the button for the patient Instruct the patient's family membe button, not to exceed every 10 min 3. Assess the patient's vital signs Increase the dose of medication del injection 11 A patient with a known history of admitted after a motorcycle accident you into the room and says, "I need pain. Now." Which assumption by the 1. The patient is withdrawing from an opioid to reduce symptoms. 2. The patient is in pain and needs an 3. The patient is trying to establish con situation 4. The patient is faking pain to gain access 7. A mure 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 12. The nurse is providing care for a patient in the emergency department who is experiencing an headache. The patient reports taking to the acetaminophen (Tylenol) 500 mg tablets for the past few days. The nurse would be concerned by which of the following statemen the patient? 1. "I usually drink three or four beers a das 2. "My headache pain is six out of ten." 3. "I'm having difficulty sleeping." 4. "It hurts even worse with these bright lip 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. Methadone (Dolophine) 3. Hydrocodone acetaminophen (Norco) 4. Phenytoin (Dilantin) 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?"

Answer 1

6.prefer for psychiatric opinion. Patient behavior changed within one week. So he or she can't follow our instruction now. So wants to be a mental health assessment & symptoms relieve. Then identity the behavioral change is due to side effects ;change the analgesic.

7.verify the patient renal & liver function level in normal limits. Because acetaminophen affects renal & liver fuction normally. In deranged patient we administer acetaminophen kidney can't excret from body that may affect both renal & liver function. So nephro patients contraindicated for use of acetaminophen.

8.Nalaxone.it is a opioid receptor antagonist. It can relieved depression of central nervous system & respiratory system due to the action of opioids.

9.(3)I know placebo helps to relief the pain, the pain is not real. Placebo is a drug like substance but not containcontainscontains active drug substance.