A nurse is caring for a client who has a prescription for a fentanyl transdermal patch and had one patch applied 4 hr ago. The client reports breakthrough pain. Which of the following actions should the nurse take?

Provide a long-acting NSAID.

Apply heat to the patch.

Replace the patch with a new one.

Administer a short-acting opioid.

Answer and Explanation

The Correct Answer is D

A. A long-acting NSAID is not appropriate for breakthrough pain when a fentanyl patch is already in use, as it is not fast-acting enough.

B. Applying heat to the patch can increase the absorption of fentanyl, which could cause an overdose.

C. The fentanyl patch is a long-acting opioid, and a new patch should not be applied for breakthrough pain so soon.

D. A short-acting opioid is appropriate for treating breakthrough pain, as it provides rapid relief.

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Correct Answer is C

Explanation

A. Sodium polystyrene sulfonate should not be taken with sorbitol due to the risk of severe diarrhea and gastrointestinal complications.

B. Antacids can interfere with the effectiveness of sodium polystyrene sulfonate, as they alter gastrointestinal motility and affect potassium binding.

C. Monitoring electrolytes is essential because sodium polystyrene sulfonate can lead to electrolyte imbalances, particularly hypokalemia.

D. Sodium polystyrene sulfonate is administered orally or rectally, not intravenously.

A. “I should draw up the NPH insulin first." B. " will mix these medications in one syringe." C. "I should eat within 1 hour after my injection." D. "I will expect the lispro insulin to be cloudy."

Correct Answer is B

Explanation

A. NPH insulin should be drawn up second, after lispro insulin, to prevent contamination of the shorter-acting insulin.

B. Lispro insulin (short-acting) and NPH insulin (intermediate-acting) can be mixed in one syringe, with the lispro insulin drawn first.

C. The client should eat immediately after administering lispro insulin (a rapid-acting insulin), not within 1 hour.

D. Lispro insulin is clear and should not be cloudy.

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A nurse is caring for a client who has a prescription for a fentanyl transdermal patch and had one patch applied 4 hr ago. The client reports breakthrough pain. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly licensed nurse about administering sodium polystyrene sulfonate to a client. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is teaching a client who has diabetes mellitus and a new prescription for a combination of lispro insulin and NPH insulin. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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