This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with chronic neck pain is seen in the pain clinic for follow-up. In order to evaluate ... (Read 52 times)

ericka1

  • Hero Member
  • *****
  • Posts: 544
on: Jun 25, 2018
A patient with chronic neck pain is seen in the pain clinic for follow-up. In order to evaluate whether the pain management is effective, which question is best for the nurse to ask?
 
  a. Can you describe the quality of your pain?
  b. Has there been a change in the pain location?
  c. How would you rate your pain on a 0 to 10 scale?
  d. Does the pain keep you from doing things you enjoy?

Question 2

A patient who is receiving sustained-release morphine sulfate (MS Contin) every 12 hours for chronic pain experiences level 9 (0 to 10 scale) breakthrough pain and anxiety. Which action by the nurse is best?
 
  a. Provide amitriptyline (Elavil) 10 mg orally.
  b. Administer lorazepam (Ativan) 1 mg orally.
  c. Offer ibuprofen (Motrin) 400 to 800 mg orally.
  d. Give immediate-release morphine 30 mg orally.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Sammyo

  • Sr. Member
  • ****
  • Posts: 329
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: D
The goal for the treatment of chronic pain usually is to enhance function and quality of life. The other questions are also appropriate to ask, but information about patient function is more useful in evaluating effectiveness.

Answer to Question 2

ANS: D
The severe breakthrough pain indicates that the initial therapy should be a rapidly acting opioid, such as the immediate-release morphine. Lorazepam and amitriptyline may be appropriate to use as adjuvant therapy, but they are not likely to block severe breakthrough pain. Use of antianxiety agents for pain control is inappropriate because this patient's anxiety is caused by the pain.


ericka1

  • Member
  • Posts: 544
Reply 2 on: Jun 25, 2018
Great answer, keep it coming :)

bdobbins

  • Member
  • Posts: 326
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

More than 20 million Americans cite use of marijuana within the past 30 days, according to the National Survey on Drug Use and Health (NSDUH). More than 8 million admit to using it almost every day.

Did you know?

There are more sensory neurons in the tongue than in any other part of the body.

Did you know?

Adults are resistant to the bacterium that causes Botulism. These bacteria thrive in honey – therefore, honey should never be given to infants since their immune systems are not yet resistant.

Did you know?

Fungal nail infections account for up to 30% of all skin infections. They affect 5% of the general population—mostly people over the age of 70.

Did you know?

Though methadone is often used to treat dependency on other opioids, the drug itself can be abused. Crushing or snorting methadone can achieve the opiate "rush" desired by addicts. Improper use such as these can lead to a dangerous dependency on methadone. This drug now accounts for nearly one-third of opioid-related deaths.

THE DIMENSIONS OF PATIENT-CENTERED CARE THE DIMENSIONS OF PATIENT-CENTERED CARE
Role-Playing a Situation in Which a Patient Is Frightened, Angry, or Anxious Role-Playing a Situation in Which a Patient Is Frightened, Angry, or Anxious
Pneumonia patient’s chest x-ray. Note the irregular areas of density. Pneumonia patient’s chest x-ray. Note the irregular areas of density.
The relationship of substrate con- version (as measured by optical density) to the amount of patient ... The relationship of substrate con- version (as measured by optical density) to the amount of patient ...
In order to encourage Canadians to avoid cross border shopping, Walmart Canada is striving to ... In order to encourage Canadians to avoid cross border shopping, Walmart Canada is striving to ...
Round your answer to the nearest tenth. A patient with a pulmonary embolus has Refludan ... Round your answer to the nearest tenth. A patient with a pulmonary embolus has Refludan ...
Video: Tuberculosis Testing

For a complete list of videos, visit our video library