The nurse administered 100 mcg sublingual fentanyl spray (Subsys) ...

[audragclark]

The nurse administered 100 mcg sublingual fentanyl spray (Subsys) at 10:00 A.M. to a patient experiencing severe breakthrough pain. At what time will the nurse ask the patient if pain relief was obtained?
 
  a. 10:30 A.M.
  b. 11:00 A.M.
  c. 11:30 A.M.
  d. 12:00 noon

Question 2

The nurse is caring for a patient who has been taking ibuprofen (Advil, Motrin) 800 mg TID for the last several months to relieve arthritis pain in her knees. Which assessment finding must be reported to the physician promptly?
 
  a. The patient has abdominal pain and pale skin.
  b. The patient has constipation and takes stool softeners daily.
  c. The patient enjoys a glass of wine every Friday and Saturday evening.
  d. The patient has gained 15 lb in the last 3 months.

[Juro]

Answer to Question 1

ANS: A
Sublingual pain medications should be working well 15 to 30 minutes after administration, so the nurse should reassess the patient's pain at 10:30 A.M.

Answer to Question 2

ANS: A
A side effect of ibuprofen and other NSAIDs is the risk of gastrointestinal bleeding, especially with long-term use. Abdominal pain with pale skin in this patient may be indicative of a bleeding ulcer and should be reported to the physician promptly.

[audragclark]

Excellent

[scottmt]

Gracias!