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
Explanation
A. A random blood glucose level greater than 200 mg/dL suggests diabetes. However, it's important to note that this is not a definitive diagnosis and often requires further testing, such as a fasting blood glucose test or an oral glucose tolerance test.
B. <100 is a normal range for a fasting blood glucose test, not a random one.
C. <10 is an abnormally low blood glucose level, indicating hypoglycemia.
D. >100 range is too broad to determine if diabetes is likely.
Correct Answer is A
Explanation
A. Skinny, muscle-wasted appearance is more characteristic of emphysema, another type of COPD. Patients with chronic bronchitis often have a more ruddy complexion due to chronic hypoxia.
B. Dependent edema can occur due to right-sided heart failure, which is a complication of chronic bronchitis.
C. Production of large amounts of sputum is a hallmark symptom of chronic bronchitis.
D. Cyanotic Skin tone is also a common finding in patients with chronic bronchitis due to chronic hypoxia.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.