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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. As the heart's ability to pump blood is compromised, blood pressure decreases.
B. Bounding pulses are associated with increased cardiac output, which is opposite to what occurs in cardiac tamponade.
C. Beck's Triad: This classic triad includes hypotension, muffled heart sounds, and jugular venous distention, all indicative of cardiac tamponade.
D. Muffled heart sounds are a characteristic of cardiac tamponade due to the fluid accumulation around the heart.
E. Jugular veins are distended: The increased pressure in the right atrium due to impaired ventricular filling leads to distended jugular veins.
Correct Answer is A
Explanation
A. Specific gravity measures the concentration of solutes in urine. In diabetes insipidus, the urine is very dilute, so the specific gravity will be low.
B. Insulin is related to diabetes mellitus, not diabetes insipidus. There would be no insulin in the urine in this case.
C. Glucose in the urine is typically associated with diabetes mellitus, not diabetes insipidus.
D. Presence of ketones: Ketones are typically found in the urine during uncontrolled diabetes mellitus or starvation. They would not be present in diabetes insipidus.
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