A 45-year-old recovering heroin abuser is status post lumbar fusion and is admitted to the intensive care unit for pain management isses related to a diagnosis of degenerative disk disease and associated peripheral neuropathy. The client who is currently prescribed oxycodone/paracetamol 5 mg/325 mg two tablets every 4 hours around the clock, gabapentin 300 mg four times per day methadone 10 mg twice daily. The client is awake alert, and oriented X4 with stable vitals is able to move lower extremities bilaterally, but reports decreased sensations in feet bilaterally and reporting incisional pain as a 10 of 10 on the Numeric Rating Scale (NRS)

Select the medication that can be appropriately prescribed and administered to help address the client's addiction maintenance, and postoperative pain.

A patient is admitted with the diagnosis of a gunshot wound to the head due to a suicide attempt. While in the patient care unit, the plan of care should include which intervention?

A home care nurse visits a client who is confined to bed and is cared for by an adult child with substance use disorder. The home is cluttered and unclean, and the nurse notes that the client is wet with urine and shows signs of dehydration. After caring for the client, the nurse contacts the health care provider and reports the incident to Adult Protective Services. What ethical principle is the nurse practicing?

A client prescribed a medication for hypertension started taking it 3 days ago and arrives in the emergency department with an edematous face and tongue and having a difficult time speaking. What medication is the nurse aware of that may produce this type of side effect?

Which patient situation will be classified in the emergent triage category?

Why use a specific pain intensity scale in the critical care unit?

Which intervention would the nurse plan to use for a patient who was working on a construction site and now presents to the hospital with profuse sweating, a temperature of 104°F (40°C), patent airway, tachycardia, acute confusion, and anxiety?

The nurse is caring for a patient with liver dysfunction. What is the maximum dose of acetaminophen the patient should receive in 24 hours?

A patient is brought to the ED by a friend who states that a tree fell on the patient’s leg and crushed it while they were cutting firewood. What priority actions should the nurse perform? (Select all that apply.)

A patient on mechanical ventilation is receiving total parenteral nutrition (TPN). Which statement is true?

The Provider orders an IV weight-based medication to be infused at 4 mcg/kg/min. The patient weighs 198 lbs. You are supplied with a bag of the IV medication that reads 250mg/250 ml. How many mL/hr will you administer?

NOTE

• DO NOT write the unit/s of measurement
• DO NOT round your answer