A 30-year-old female has suffered a third-degree burn to her hand ...

[KWilfred]

A 30-year-old female has suffered a third-degree burn to her hand after spilling hot oil on it in a kitchen accident. Which of the following teaching points by a member of her care team is most appropriate?
 
  A)
  Tell us as soon as you sense the beginnings of a round of pain, and we will start with analgesics.
  B)
  Opioids like morphine often cause constipation, but if this happens to you, we will discontinue opioids and change to another family of medications.
  C)
  Opioids aren't without side effects, but we will take action to manage these side effects, so you can continue getting these drugs.
  D)
  It's imperative that we prevent you from developing a tolerance for opioids while you're getting treatment for your burn.

Question 2

A nurse at a long-term care facility provides care for an 85-year-old man who has had recent transient ischemic attacks (TIAs). Which of the following statements best identifies future complications associated with TIAs? TIAs
 
  A)
  are an accumulation of small deficits that may eventually equal the effects of a full CVA.
  B)
  are a relatively benign sign that necessitates monitoring but not treatment.
  C)
  resolve rapidly but may place the client at an increased risk for stroke.
  D)
  are caused by small bleeds that can be a warning sign of an impending stroke.

[stallen]

Answer to Question 1

Ans:
C

Feedback:

While opioids carry side effects such as constipation, these can be managed in order to continue treatment; constipation would not preclude the continued use of opioids, but would require management. Pain medications should precede the onset of pain, and tolerance is not grounds for discontinuing treatment.

Answer to Question 2

Ans:
C

Feedback:

TIAs can be considered a warning sign for future strokes. They are not hemorrhagic in nature, and their effects are not normally cumulative. They may require treatment medically or surgically.

[KWilfred]

Excellent

[xiazhe]

TYSM