Nokea
A client with stage IV bone cancer is admitted to the hospital for pain control. The client verbalizes continuous, severe pain of 8 on a 1 to 10 scale. Which intervention should the nurse implement?
- A. Administer opioid and non-opioid medication simultaneously
- B. Administer only opioid medication as prescribed.
- C. Encourage the client to practice relaxation techniques
- D. Delay medication administration until reassessment.
Correct Answer: A
Rationale: Combining opioid and non-opioid medications provides more effective pain relief for severe cancer-related pain.
You may also like to solve these questions
What is the Duke Treadmill score for a patient who exercised for 10 minutes (12 METS) and had a maximum of 1 mm ST depression at peak exercise without angina?
- A. 5
- B. 7
- C. 9
- D. 10
Correct Answer: C
Rationale: The Duke Treadmill score is calculated based on exercise duration
The initial treatment of choice for a symptomatic patient with isolated pulmonic stenosis is
- A. closed surgical blade valvotomy
- B. open surgical valvotomy
- C. balloon catheter valvuloplasty
- D. Blalock-Taussig shunt
Correct Answer: C
Rationale: Balloon catheter valvuloplasty is less invasive and effective for relieving pulmonic stenosis.
A 3-year-old child diagnosed with congestive heart failure is receiving maintenance doses of digoxin and furosemide (Lasix). She is rubbing her eyes when she is looking at the lights in the room and her heart rate is 65 beats per minute. The nurse expects which laboratory finding?
- A. Hypokalemia
- B. Hypomagnesemia
- C. Hypocalcemia
- D. Hypophosphatemia
Correct Answer: A
Rationale: Hypokalemia is a common side effect of furosemide, a diuretic, and can exacerbate digoxin toxicity, which may present with symptoms such as visual disturbances and bradycardia.
Which is best described as the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures?
- A. Pulmonary congestion
- B. Congenital heart defect
- C. Heart failure
- D. Systemic venous congestion
Correct Answer: C
Rationale: The definition of heart failure is the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures to meet the body’s metabolic demands. Pulmonary congestion is an excessive accumulation of fluid in the lungs. Congenital heart defect is a malformation of the heart present at birth. Systemic venous congestion is an excessive accumulation of fluid in the systemic vasculature.
An adult female with multiple sclerosis (MS) falls while walking to the bathroom. On transfer to the intensive care unit, she is confused and has had projectile vomiting twice. Which intervention should the nurse implement first?
- A. Determine client's last dose of corticosteroids
- B. Determine neurological baseline prior to the fall
- C. Administer a PRN IV antiemetic as prescribed
- D. Complete head to toe neurological assessment.
Correct Answer: D
Rationale: The symptoms suggest increased intracranial pressure or a neurological emergency. A thorough neurological assessment is necessary to identify the cause and guide further interventions.