A nurse at a clinic is talking with a patient who has cancer and takes extended-release opioids BID. The patient reports an increase in localized, achy pain over the last few days. How should the nurse document this increase in pain?

Phantom limb pain

Neuropathic pain

Breakthrough pain

Mixed pain

Answer and Explanation

The Correct Answer is A

A.   Breakthrough pain is defined as a transient exacerbation of underlying persistent pain that occurs on a background of otherwise controlled pain. This is the most accurate description of the patient's experience: a sudden increase in pain despite taking regular opioid medication.
B.   Phantom limb pain is pain felt in a limb that is no longer there. This does not apply to the patient's situation.
C.   Neuropathic pain is caused by damage to the nerves. While it can be achy, the description of localized pain suggests a different type of pain.
D.   Mixed pain is a combination of different types of pain. While possible, breakthrough pain is the most likely and specific diagnosis based on the given information.

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Correct Answer is C

Explanation

A. This is a general term that can refer to problems with either the left or right ventricle of the heart. It doesn't specifically address the relationship between lung pressure and right-sided heart failure.
B. This is a symptom of heart failure, specifically difficulty breathing when lying down. It's not a diagnostic term for the condition itself.
C. It specifically refers to right-sided heart failure that is caused by increased pressure in the lungs (pulmonary hypertension).
D. This is a general term for heart failure where the heart is unable to pump blood effectively, leading to congestion in various parts of the body. While it can include right-sided heart failure, it doesn't specifically address the underlying cause of increased lung pressure.

A. The patient is hyperglycemic with FSBG of 120 B. The patient feels nauseous after receiving opioid pain medication C. The presence of Ketones in their blood and urine D. The patient reports some soreness at the operative site

Correct Answer is C

Explanation

A. While hyperglycemia is common after surgery, a blood sugar of 120 is not considered severely high.
B. Nausea is a common side effect of opioid pain medication and not specifically related to diabetes complications.
C. This is the most likely indicator of a severe complication, specifically Diabetic Ketoacidosis (DKA). Ketones in the blood and urine are characteristic of DKA, which can be life-threatening.
D. Postoperative soreness is expected.

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A nurse at a clinic is talking with a patient who has cancer and takes extended-release opioids BID. The patient reports an increase in localized, achy pain over the last few days. How should the nurse document this increase in pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the term used to describe Right-sided heart failure that is caused by increased pressure in the lungs?

Correct Answer is C

Explanation

You are caring for a patient with Type 1 diabetes who had surgery yesterday. Which of the following findings would MOST LIKLEY indicate that the patient is suffering a severe complication from their disease?

Correct Answer is C

Explanation

A nurse is caring for a patient who has Diabetes Insipidus. Which of the following urinalysis laboratory findings should the nurse expect?

A nurse is providing discharge teaching to a client who has COPD and a new prescription for Albuterol. Which of the following statements by the client indicates an understanding of the teaching?

A nurse at a clinic is talking with a patient who has cancer and takes extended-release opioids BID. The patient reports an increase in localized, achy pain over the last few days. How should the nurse document this increase in pain?

Which of the following is an EARLY indication of Hypoxia?

A nurse is caring for a patient who is receiving Morphine via a patient-controlled analgesic (PCA) infusion device after knee surgery. Which of the following patient statements indicates that the client understands how to use this device?

Regarding Hgb A1C lab results. Which of the following statements are TRUE? <Select all that apply>

A nurse is caring for a male client who has a blood glucose of 52. The client is lethargic and not able to keep his eyes open or follow directions, but his IV is patent and flushes easily. What is the PRIORITY action?