« previous next »

Author Question: A patient has just had surgery. What pain control strategy is best? a. Administer prn medications ... (Read 72 times)

KWilfred

  • Hero Member
  • *****
  • Posts: 570
on: Jul 11, 2018
A patient has just had surgery. What pain control strategy is best?
 
  a. Administer prn medications when re-quested.
  b. Give pain medications around the clock at first.
  c. Start with nonopioids then progress to opioids.
  d. Ask the patient his or her preference for medication.

Question 2

The nurse is preparing to apply a topical cream on the arm of a cognitively impaired, anorexic older adult patient in the terminal stage of lung cancer
 
  The nurse carefully monitors the effec-tiveness of the medication because its effectiveness will be most negatively impacted by the pa-tient's:
  a. age.
  b. cognitive limitations.
  c. nutritional status.
  d. cancer diagnosis.


beccamahon

  • Sr. Member
  • ****
  • Posts: 338
Reply #1 on: Jul 11, 2018
Answer to Question 1

B
After surgery the patient is expected to have pain. The best way to control acute pain is through round-the-clock dosing (at least at first) to keep the patient's pain from getting out of control. The nurse should assess the patient's preferences, but should assess preferences for pain levels, because the patient may not be experienced in receiving pain medications. Opioids are expected for acute pain from surgery.

Answer to Question 2

A
Topical drugs face barriers to absorption because the aged skin has decreased water content, a relative decrease in lipid content, and a decrease in tissue perfusion. These changes may result in impaired absorption of some medications that are administered via lotions, creams, ointments, and patches. The other options are not related to medication effectiveness in this situation.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Tobacco depletes the body of vitamins A, C, and E, which can result in any of the following: dry hair, dry skin, dry eyes, poor growth, night blindness, abscesses, insomnia, fatigue, reproductive system problems, sinusitis, pneumonia, frequent respiratory problems, skin disorders, weight loss, rickets, osteomalacia, nervousness, muscle spasms, leg cramps, extremity numbness, bone malformations, decayed teeth, difficulty in walking, irritability, restlessness, profuse sweating, increased uric acid (gout), joint damage, damaged red blood cells, destruction of nerves, infertility, miscarriage, and many types of cancer.

Did you know?

Over time, chronic hepatitis B virus and hepatitis C virus infections can progress to advanced liver disease, liver failure, and hepatocellular carcinoma. Unlike other forms, more than 80% of hepatitis C infections become chronic and lead to liver disease. When combined with hepatitis B, hepatitis C now accounts for 75% percent of all cases of liver disease around the world. Liver failure caused by hepatitis C is now leading cause of liver transplants in the United States.

Did you know?

Not getting enough sleep can greatly weaken the immune system. Lack of sleep makes you more likely to catch a cold, or more difficult to fight off an infection.

Did you know?

Prostaglandins were first isolated from human semen in Sweden in the 1930s. They were so named because the researcher thought that they came from the prostate gland. In fact, prostaglandins exist and are synthesized in almost every cell of the body.

Did you know?

Bisphosphonates were first developed in the nineteenth century. They were first investigated for use in disorders of bone metabolism in the 1960s. They are now used clinically for the treatment of osteoporosis, Paget's disease, bone metastasis, multiple myeloma, and other conditions that feature bone fragility.

Relatively simple changes in Hox genes control limb formation in tetrapods. Relatively simple changes in Hox genes control limb formation in tetrapods.
Client on IV patient-controlled analgesia (PCA). Client on IV patient-controlled analgesia (PCA).
Electroencephalography (EEG). To perform the EEG, electrodes attached to the patient’s head pick up Electroencephalography (EEG). To perform the EEG, electrodes attached to the patient’s head pick up
Hormonal control of adrenal gland. CRH = corticotropin releasing hormone; ACTH = adrenocorticotropic ... Hormonal control of adrenal gland. CRH = corticotropin releasing hormone; ACTH = adrenocorticotropic ...
Biological control pits one organism against another Biological control pits one organism against another
Video: Adolescent Diabetes

For a complete list of videos, visit our video library