A patient with cancer is admitted to the hospital. The nurse obtains an admission history and learns that the patient has been taking oxycodone and a nonsteroidal anti-inflammatory drug (NSAID) for a year.
The patient reports a recent increase in the intensity of pain, along with a new pain described as burning and shooting. The nurse anticipates that the prescriber will order:
a. a combination opioid/NSAID and an adjunctive analgesic.
b. a fentanyl transdermal patch, acetaminophen, and an adjunctive analgesic.
c. an increase in the oxycodone and NSAID doses.
d. intramuscular morphine sulfate and acetaminophen.
Question 2
A patient newly diagnosed with cancer is admitted to the hospital, and the provider orders oxycodone (OxyContin) every 4 to 6 hours PRN pain.
The patient requests pain medication whenever he reports pain as a 7 or 8 on a scale of 1 to 10 (10 being the worst pain), but he tells the nurse the medication is not working well. The nurse will contact the provider to discuss:
a. a fixed dosing schedule for the oxycodone.
b. intramuscular meperidine (Demerol).
c. intravenous morphine sulfate.
d. transdermal fentanyl.
Documenting the health history is a crucial step in providing patient care
The nurse assesses the patient's ability to use the walker correctly
Brief Review of the History of Oligonucleotide Synthesis
Nurse opens sterile package
Patient teaching - eye assessment