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

Author Question: A patient has been experiencing severe chronic pain for 2 months. The nurse anticipates that the ... (Read 73 times)

kfurse

  • Hero Member
  • *****
  • Posts: 590
on: Jul 23, 2018
A patient has been experiencing severe chronic pain for 2 months. The nurse anticipates that the prescriber will order which medication, which would have a more consistent effect for the patient's chronic pain?
 
  a. Meperidine (Demerol) via patient-controlled analgesia pump
  b. Morphine (morphine sulfate) given intravenously
  c. Fentanyl (Duragesic) transdermal patch
  d. Hydromorphone hydrochloride (Dilaudid) orally

Question 2

A patient who received an inhalation anesthetic is received into the recovery room. A nurse obtains vital signs during the immediate postoperative assessment.
 
  The patient's muscles are tense, and her body temperature is 104 F. The nurse's best action is to
  a. administer acetaminophen (Tylenol) as ordered and recheck the temperature in 1 hour.
  b. apply a cooling blanket per the agency's protocol.
  c. collaborate with the prescriber regarding the risk of malignant hyperthermia.
  d. administer diazepam (Valium) for the muscle rigidity.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

diana chang

  • Sr. Member
  • ****
  • Posts: 288
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Fentanyl's half-life is very long; with transdermal application, levels remain steady for 24 to 48 hours.
Demerol is not a long-acting formula because of its short half-life, and it would not be used for chronic pain.
Morphine has a very short half-life and would not be used for chronic pain.
Hydromorphone given orally is not a long-acting formulation and would not be used to manage chronic pain.

Answer to Question 2

ANS: C
Malignant hyperthermia is characterized by muscle rigidity and a profound elevation in temperature. The prescriber should be notified, because malignant hyperthermia is rare but potentially fatal.
Administration of Tylenol may not be sufficient and disregards the muscle rigidity that also is present.
A cooling blanket may not be sufficient and disregards the muscle rigidity that also is present.
Administration of diazepam does not address the hyperthermia that is present.


kfurse

  • Member
  • Posts: 590
Reply 2 on: Jul 23, 2018
Excellent

T4T

  • Member
  • Posts: 348
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

Critical care patients are twice as likely to receive the wrong medication. Of these errors, 20% are life-threatening, and 42% require additional life-sustaining treatments.

Did you know?

In most cases, kidneys can recover from almost complete loss of function, such as in acute kidney (renal) failure.

Did you know?

During pregnancy, a woman is more likely to experience bleeding gums and nosebleeds caused by hormonal changes that increase blood flow to the mouth and nose.

Did you know?

The average older adult in the United States takes five prescription drugs per day. Half of these drugs contain a sedative. Alcohol should therefore be avoided by most senior citizens because of the dangerous interactions between alcohol and sedatives.

Effective listening skills demonstrate empathy to the patient and break down barriers to communicati Effective listening skills demonstrate empathy to the patient and break down barriers to communicati
An example of a medical history sheet to list patient problems. An example of a medical history sheet to list patient problems.
Reputable Websites for Patient Education Cont. Reputable Websites for Patient Education Cont.
Preoperative and Postoperative Patient Instructions Preoperative and Postoperative Patient Instructions
ROM exercises on a patient’s wrist: flexion. ROM exercises on a patient’s wrist: flexion.
Jaundice seen in the eyes and the skin of a patient with hepatitis A. Jaundice seen in the eyes and the skin of a patient with hepatitis A.
Video: Secondary and tertiary levels of protein structure Animation

For a complete list of videos, visit our video library