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RNSG 1430 Exam 1 – Comfort questions with verified answers

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65-year-old woman has fallen sweeping her driveway sustaining a tissue injury. She describes what condition is it a good driving back. Which type of paint are the complaint is most indicative of? Ans Nociceptive A 70-year-old who is interested in a non drug, mind body therapist, self management and alternative strategies to deal with joint pain from rheumatoid arthritis. Which options should you suggest for her plan of care considering her wishes? Ans Mind body therapy like music A patient admitted with meta-static lung cancer is ordered to receive morphine sulfate for pain. Which side effect of this medication should they nurse try to prevent with oral intake and medication? Ans Constipation A patient asked the nurse why does Hydromorphone by IV push is given before starting the medication be a PCA. Which response is most appropriate? Ans The IV push those will provide for immediate relief from pain which can be maintained by using the PCA A patient is receiving morphine sulfate via patient controlled analgesia. What nursing action is most effective to reduce the risk of adverse effects? Ans Teach the caregiver not to push the button for the patient A patient with osteoarthrosis has been taking ibuprofen 400 mg every eight hours. The patient states that drug does not seem to work as well as it is used to in controlling the pain. The most

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RNSG 1430 Exam 1 – Comfort questions with verified
answers
65-year-old woman has fallen sweeping her driveway sustaining a tissue injury.
She describes what condition is it a good driving back. Which type of paint are the
complaint is most indicative of? Ans✓✓✓ Nociceptive


A 70-year-old who is interested in a non drug, mind body therapist, self
management and alternative strategies to deal with joint pain from rheumatoid
arthritis. Which options should you suggest for her plan of care considering her
wishes? Ans✓✓✓ Mind body therapy like music


A patient admitted with meta-static lung cancer is ordered to receive morphine
sulfate for pain. Which side effect of this medication should they nurse try to
prevent with oral intake and medication? Ans✓✓✓ Constipation


A patient asked the nurse why does Hydromorphone by IV push is given before
starting the medication be a PCA. Which response is most appropriate? Ans✓✓✓
The IV push those will provide for immediate relief from pain which can be
maintained by using the PCA


A patient is receiving morphine sulfate via patient controlled analgesia. What
nursing action is most effective to reduce the risk of adverse effects? Ans✓✓✓
Teach the caregiver not to push the button for the patient


A patient with osteoarthrosis has been taking ibuprofen 400 mg every eight
hours. The patient states that drug does not seem to work as well as it is used to
in controlling the pain. The most appropriate response to the patient is based on
what knowledge? Ans✓✓✓ Another NSAID may be indicated because an
individual variations in response to drug therapy

, A post operative patient has an order to receive morphine sulfate 4 mg every 3 to
4 hours for pain. On hand or prefilled syringe is labeled morphine sulfate 10 mg
for every 1 mL how many milliliters should the nurse administer? Ans✓✓✓ 0.4
mL


Acute pain Ans✓✓✓ Short term/Opiods used for relief/ vitals sometimes help


Adjuvants Ans✓✓✓ Drugs used alone or with opiod or non opiod generally used
for other purposes but is effective in treating pain. Enhance effects of non-
opioids, useful for treating neuropathic pain, alleviates depression, seizures,
inflammation


After administering acetaminophen with oxycodone for pain which intervention
would be of highest priority for the nurse to complete before leaving the patient's
room? Ans✓✓✓ Ensure side rails are raised


Antecedent Ans✓✓✓ effective circulatory system, able to discern from comfort
to discomfort, without noxious stimuli, intact neurological/sensory system


Attributes Ans✓✓✓ Reports being comfortable, indicates pain scale zero, relaxed
facial expressions and body posture, vital signs within normal limits


Chronic pain Ans✓✓✓ 3 months+ pain duration/ vitals DO NOT identify pain/
treated with NON opiods

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