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

Author Question: Which patient with pain should the nurse assess first? a. Patient with postoperative pain who ... (Read 128 times)

brutforce

  • Hero Member
  • *****
  • Posts: 540
on: Jun 25, 2018
Which patient with pain should the nurse assess first?
 
  a. Patient with postoperative pain who received morphine sulfate IV 15 minutes ago
  b. Patient with neuropathic pain who has a dose of hydrocodone (Lortab) scheduled now
  c. Patient who received hydromorphone (Dilaudid) 1 hour ago and currently has a sedation scale of 2
  d. Patient who returned from the postanesthesia care unit 2 hours ago and has a respiratory rate of 10

Question 2

The health care provider orders a patient-controlled analgesia (PCA) machine to provide pain relief for a patient with acute surgical pain who has never received opioids in the past.
 
  Which nursing actions regarding opioid administration are appropriate at this time (select all that apply)?
  a. Assess for signs that the patient is becoming addicted to the opioid.
  b. Monitor for therapeutic and adverse effects of opioid administration.
  c. Emphasize that the risk of some opioid side effects increases over time.
  d. Teach the patient about how analgesics improve postoperative activity levels.
  e. Provide instructions on decreasing opioid doses by the second postoperative day.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

olivia_paige29

  • Sr. Member
  • ****
  • Posts: 334
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: D
This patient's respiratory rate indicates possible respiratory depression. The risk for oversedation is greatest in the first 4 hours after transfer from the postanesthesia care unit. Patients should be reassessed 30 minutes after receiving IV opioids for pain. A scheduled oral mediation does not need to be administered exactly at the scheduled time. A sedation scale of 2 indicates adequate pain control from hydromorphone.

Answer to Question 2

ANS: B, D
Monitoring for pain relief and teaching the patient about how opioid use will improve postoperative outcomes are appropriate actions when administering opioids for acute pain. Although postoperative patients usually need a decreasing amount of opioids by the second postoperative day, each patient's response is individual. Tolerance may occur, but addiction to opioids will not develop in the acute postoperative period. The patient should use the opioids to achieve adequate pain control, and so the nurse should not emphasize the adverse effects.


brutforce

  • Member
  • Posts: 540
Reply 2 on: Jun 25, 2018
Great answer, keep it coming :)

carlsona147

  • Member
  • Posts: 341
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

Hypertension is a silent killer because it is deadly and has no significant early symptoms. The danger from hypertension is the extra load on the heart, which can lead to hypertensive heart disease and kidney damage. This occurs without any major symptoms until the high blood pressure becomes extreme. Regular blood pressure checks are an important method of catching hypertension before it can kill you.

Did you know?

Never take aspirin without food because it is likely to irritate your stomach. Never give aspirin to children under age 12. Overdoses of aspirin have the potential to cause deafness.

Did you know?

Throughout history, plants containing cardiac steroids have been used as heart drugs and as poisons (e.g., in arrows used in combat), emetics, and diuretics.

Did you know?

The word drug comes from the Dutch word droog (meaning "dry"). For centuries, most drugs came from dried plants, hence the name.

Did you know?

No drugs are available to relieve parathyroid disease. Parathyroid disease is caused by a parathyroid tumor, and it needs to be removed by surgery.

(A) Scratch test; patient is exposed to allergens through a light scratch on the skin; (B) Positive (A) Scratch test; patient is exposed to allergens through a light scratch on the skin; (B) Positive
The approval of a new drug is a four-stage process: (1) preclinical investigation, (2) clinical inve The approval of a new drug is a four-stage process: (1) preclinical investigation, (2) clinical inve
Calipers being used to measure body fat on the triceps of a patient. Calipers being used to measure body fat on the triceps of a patient.
Pregnancy abdomen pain Pregnancy abdomen pain
Pain Pain
Illustration of the anatomy of a normal subject (A) and a patient with sleep apnea (B) Illustration of the anatomy of a normal subject (A) and a patient with sleep apnea (B)
Video: Virtual Enzyme Kinetics & Lineweaver Burk Plot

For a complete list of videos, visit our video library