A cancer patient is experiencing neuropathic cancer pain. Which ...

[Melani1276]

A cancer patient is experiencing neuropathic cancer pain. Which prescription should the nurse expect to be ordered to control anxiety?
 
  a. Lorazepam (Ativan)
  b. Gabapentin (Neurontin)
  c. Hydromorphone (Dilaudid)
  d. Morphine sulfate (MS Contin)

Question 2

The nurse is teaching a staff development program about levels of sedation in the pediatric population. Which statement by one of the participants should indicate a correct understanding of the teaching?
 
  a. With minimal sedation, the patient's respiratory efforts are affected, and cognitive function is not impaired.
  b. With general anesthesia, the patient's airway cannot be maintained, but cardiovascular function is maintained.
  c. During deep sedation, the patient can be easily aroused by loud verbal commands and tactile stimulation.
  d. During moderate sedation, the patient responds to verbal commands but may not respond to light tactile stimulation.

[rnehls]

Answer to Question 1

ANS: B
Anticonvulsants (gabapentin, carbamazepine) have demonstrated effectiveness in neuropathic cancer pain. Ativan is an antianxiety agent, and Dilaudid and MS Contin are opioid analgesics.

Answer to Question 2

ANS: D
When discussing levels of sedation, the participants should understand that during moderate sedation, the patient responds to verbal commands but may not respond to light tactile stimulation, cognitive function is impaired, and respiratory function is adequate. In minimal sedation, the patient responds to verbal commands and may have impaired cognitive function; the respiratory and cardiovascular systems are unaffected. In deep sedation, the patient cannot be easily aroused except by painful stimuli; the airway and spontaneous ventilation may be impaired, but cardiovascular function is maintained. With general anesthesia, the patient loses consciousness and cannot be aroused with painful stimuli, the airway cannot be maintained, and ventilation is impaired; cardiovascular function may or may not be impaired.

[Melani1276]

Correct answers!

[rnehls]

Great! Please up vote