During report on a newly assigned patient, the nurse learns that ...

[iveyjurea]

During report on a newly assigned patient, the nurse learns that buccal fentanyl has been ordered. What can the nurse learn from this information? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. The patient is already on fentanyl.
  2. The patient has breakthrough pain.
  3. The patient is opioid nave.
  4. The patient has migraine headaches.
  5. The patient is a child under 16 years of age.

Question 2

The nurse educator is reviewing the process of hemostasis. Place the steps of hemostasis in the order they occur.
 
  1. Blood flow is further reduced
  2. Platelets become sticky
  3. Fibrin strands form
  4. Platelets are attracted to the site
  5. Vessel spasms

[Jbrasil]

Answer to Question 1

1,2
Rationale 1: Buccal fentanyl is used only for patients who are already receiving fentanyl.
Rationale 2: Buccal fentanyl is used for breakthrough cancer pain.
Rationale 3: The opioid nave patient would not be started on buccal fentanyl.
Rationale 4: Buccal fentanyl is not used for migraine headaches.
Rationale 5: Buccal fentanyl is only used for adult patients.

Global Rationale: Buccal fentanyl is used only for adult patients who are already receiving fentanyl and who have breakthrough cancer pain. The opioid nave patient would not be started on buccal fentanyl. Buccal fentanyl is not used for migraine headaches.

Answer to Question 2

5,2,4,1,3

Global Rationale: When a vessel is injured, a spasm occurs to reduce blood loss. The platelets in the area become sticky and adhere to each other and to the damaged vessel. They release substances that attract additional platelets to the area. This further reduces blood flow. Insoluble fibrin strands form and coagulate to form an insoluble clot.

[iveyjurea]

Excellent

[debra928]

Thanks for the timely response, appreciate it