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The nurse is caring for a patient using patient-controlled analgesia (PCA). What is a major advantage to this method?
- A. Less expensive
- B. More effective
- C. Less addictive
- D. Quicker
Correct Answer: D
Rationale: The use of the PCA gives quicker relief as there is no delay in waiting for the nurse to respond to the request for analgesia.
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A patient is receiving an opioid narcotic. What common side effect should the nurse be aware of when assessing this patient?
- A. Addiction
- B. Vomiting
- C. Constipation
- D. Diarrhea
Correct Answer: C
Rationale: Constipation is the most common opioid narcotic side effect for which patients do not develop a tolerance.
What is the best approach for a nurse to use when planning pain relief measures?
- A. Use a variety of pain relief methods.
- B. Use only nonopioid analgesics.
- C. Use at least three alternating methods.
- D. Use only one method at a time.
Correct Answer: A
Rationale: A variety of methods applied simultaneously have an additive effect on pain control.
A patient tells the nurse he is reluctant to report his pain because he does not want to be a bother. What problems is the nurse aware that unrelieved pain can cause?
- A. Decreased oxygen demand
- B. Depression
- C. Respiratory dysfunction
- D. Decreased GI motility
- E. Irritability
Correct Answer: B,C,D,E
Rationale: Pain, which is unrelieved, can cause many physical and psychological symptoms, including depression, respiratory dysfunction, decreased GI motility, and irritability. Pain causes increased oxygen demand.
A patient tearfully declares the use of relaxation techniques does not work for her. What is the best action for the nurse to implement?
- A. Give up on the idea.
- B. Encourage the patient to try again.
- C. Assure the patient that not everyone is successful.
- D. Give the patient a sedative.
Correct Answer: B
Rationale: Some alternative approaches to pain control require practice. Encouragement to try again is appropriate.
The nurse is trying to reassure a patient who is concerned about receiving addictive drugs. What percentage of patients become addicted to analgesics?
- A. Less than 0.1%
- B. Less than 1%
- C. Less than 5%
- D. Less than 6%
Correct Answer: B
Rationale: Research findings suggest that less than 1% of patients receiving analgesics become addicted.