Nokea
Fill in the blank. The intolerable crawling sensation in the legs that results in an irresistible urge to move legs is known as
- A. restless legs syndrome
- B. sleep apnea
- C. bruxism
- D. narcolepsy
Correct Answer: A
Rationale: Restless legs syndrome causes an uncomfortable crawling sensation in the legs, leading to an urge to move them, often disrupting sleep.
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Which medication would you administer for a patient with decreased level of consciousness and respiratory rate of 8?
- A. Morphine
- B. Narcan
- C. Naproxen
- D. Dilaudid
Correct Answer: B
Rationale: Narcan (naloxone) is used to reverse opioid overdose, which can cause decreased consciousness and low respiratory rate, as seen in this patient.
Fill in the blank. The process by which drugs may be administered, within preset boundaries, by the patient, who controls the frequency and administration of his or her pain medication, is called
- A. patient-controlled analgesia
- B. intravenous analgesia
- C. oral analgesia
- D. topical analgesia
Correct Answer: A
Rationale: Patient-controlled analgesia (PCA) allows patients to self-administer pain medication within safe, preset limits, giving them control over frequency and dosage.
Your patient reports having severe pain at an 8 on a scale of 0 to 10. You notice that her vital signs are all within normal range. Which of the following statements accurately explains the normal vital signs?
- A. The patient is not really hurting if the blood pressure and pulse are not elevated.
- B. Acute pain does not generally elevate the vital signs.
- C. The body learns to adapt to chronic pain and therefore does not elevate the vital signs.
- D. The patient is having nociceptor pain, which does not affect the vital signs.
Correct Answer: C
Rationale: Chronic pain, unlike acute pain, often does not elevate vital signs as the body adapts over time, explaining the normal vital signs in this scenario.
Your patient seems to be having a lot more postoperative pain today than he did yesterday, whichsurprises you because he has been progressing so well since his surgery 4 days ago. As you are critically thinking about factors that can increase pain, you identify data that could explain why he is having an increase in pain today. Which of the following pieces of data might provide you with this understanding?
- A. His wife, who is a strong part of his support system, was here to visit this morning for several hours.
- B. In the report, the night nurse noted that he slept only a couple of hours last night.
- C. His medical chart indicates that he is from a culture in which some with traditional views feel that pain should be suffered in silence.
- D. Earlier this morning, the patient's wife mentioned that the patient is really missing their oldest daughter, who was unable to come for the surgery because she lives in Europe.
Correct Answer: B,D
Rationale: Lack of sleep (B) can lower pain tolerance, increasing perceived pain. Emotional distress, such as missing a loved one (D), can also heighten pain perception. A supportive visit (A) and cultural beliefs (C) are less likely to directly cause an increase in pain.
The category of drugs that have greater capacity for addiction and abuse is regulated by law. The correct terminology for these drugs is which of the following?
- A. Controlled substances
- B. Prescription drugs
- C. Injectable drugs
- D. Analgesic drugs
Correct Answer: A
Rationale: Controlled substances are drugs with a high potential for addiction and abuse, regulated by law.