Exhibits

Mrs. Watson tells Lana that she is worried about getting addicted to the morphine because she has heard that it can happen. How should Lana respond? (Case Study #2)

"Don't worry. The cancer prevents you from becoming addicted."

"That is a valid worry. I wouldn't want to become addicted."

"My cousin was addicted to pain killers when he had cancer."

Because you have severe pain, the medication is necessary. There is little chance of addiction as long as you take the medication as prescribed.

Answer and Explanation

The Correct Answer is D

A. "Don't worry. The cancer prevents you from becoming addicted." This statement is incorrect because having cancer does not prevent addiction. However, appropriate pain management in patients with severe pain does not typically lead to addiction.
B. "That is a valid worry. I wouldn't want to become addicted." While acknowledging the patient’s concern is important, this response reinforces fear rather than providing reassurance based on medical evidence.
C. "My cousin was addicted to pain killers when he had cancer." This response is inappropriate because it is anecdotal and does not address the patient’s concern with factual medical information.
D. "Because you have severe pain, the medication is necessary. There is little chance of addiction as long as you take the medication as prescribed." This is the best response because it reassures the patient that pain control is a priority and that, when used correctly, the risk of addiction is minimal.

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Correct Answer is D

Explanation

A. Listening as the patient inhales and then going to the next site during exhalation. This method does not allow for a complete assessment of breath sounds, as abnormalities may be present during either phase of respiration.
B. If the patient is modest, listening to sounds over his or her clothing or hospital gown. Clothing can muffle or distort breath sounds, leading to inaccurate assessments. The stethoscope should be placed directly on the skin.
C. Instructing the patient to breathe in and out rapidly while listening to the breath sounds. Rapid breathing may lead to hyperventilation and dizziness, and it can make it difficult to detect subtle abnormalities such as crackles or wheezes.
D. Listening to at least one full respiration in each location. This is the correct technique because it allows the nurse to fully assess breath sounds during both inhalation and exhalation, ensuring accurate identification of any abnormal sounds.

A. The PCA will give additional pain medication whenever the button is pushed." B. "Wait until the pain becomes severe before pushing the PCA button." C. "The PCA will deliver medication through the IV until the pain is all gone." D. "You or a designated family member are the only one who gets to push the PCA button-nobody else may do so."

Correct Answer is D

Explanation

A. "The PCA will give additional pain medication whenever the button is pushed." PCA pumps have lockout intervals to prevent overdose, so pushing the button repeatedly will not always result in additional medication.
B. "Wait until the pain becomes severe before pushing the PCA button." PCA is most effective when used at the onset of pain rather than waiting until it becomes severe, which can make pain harder to control.
C. "The PCA will deliver medication through the IV until the pain is all gone." PCA provides controlled doses of medication but does not eliminate pain entirely. The goal is pain management, not complete pain relief.
D. "You or a designated family member are the only one who gets to push the PCA button—nobody else may do so." PCA is designed for patient-controlled use, and only the patient (or a designated, trained family member in special cases) should operate it to ensure proper dosing and safety.

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Exhibits Mrs. Watson tells Lana that she is worried about getting addicted to the morphine because she has heard that it can happen. How should Lana respond? (Case Study #2)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During auscultation of breath sounds, the nurse should correctly use the stethoscope in which of the following ways?

Correct Answer is D

Explanation

Which instruction will the nurse give to the patient about proper use of patient-controlled analgesia (PCA)?

Correct Answer is D

Explanation

Your 95-year-old client's vital signs are as follows: oral T 98.6 F: P (radial) 84 with irregularity: R 18. normal depth, & regular: BP (left arm, sitting) 140/86. Which nursing assessment(s) would be done to obtain more data at this time?

Your patient's blood pressure is 118/82. He asks you to explain "what the numbers mean." You reply:

While inserting a rectal thermometer, the nurse encounters resistance. The nurse should:

Which patient should have the temperature taken orally rather than using a tympanic thermometer?

You are assessing a client who has the following vital signs: blood pressure 120/68, pulse 84, respirations 18. You should:

The nursing student is obtaining the patient's vital signs (VS). The patient has gone to the clinic seeking help because she is having chest pain. Which of the following vital signs are most important to obtain?

The nurse must take a patient's rectal temperature. Which should the nurse do?

The licensed prescriber orders Minipress 2 mg po two times a day for Mr. Shaw's high blood pressure. The medication comes in 1mg per capsule. How may capsules will the nurse administer per dose?

Exhibits

Mrs. Watson tells Lana that she is worried about getting addicted to the morphine because she has heard that it can happen. How should Lana respond? (Case Study #2)