Signs of fentanyl patch overdose are:.

increasing pain over several hours.

an itchy red rash on the skin.

confusion and inability to walk normally.

headache and nausea.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
Increasing pain over several hours is not a typical sign of a fentanyl patch overdose. Fentanyl is a potent opioid, and overdose symptoms often involve respiratory depression, altered mental status, and other serious issues. While it is possible for a patient to experience increased pain if the fentanyl patch is not providing adequate pain relief, this is not a specific sign of overdose.
Choice B rationale:
An itchy red rash on the skin is not a sign of a fentanyl patch overdose but can be associated with skin irritation or allergies to the adhesive in the patch. It's important to differentiate between a skin reaction and an overdose when evaluating patients using fentanyl patches. Overdose symptoms are more severe and life-threatening.
Choice C rationale:
Confusion and the inability to walk normally are characteristic signs of a fentanyl patch overdose. Fentanyl is a potent opioid, and overdose can lead to central nervous system depression, resulting in confusion, altered mental status, and difficulty with coordination and walking. These symptoms are serious and require immediate medical attention.
Choice D rationale:
Headache and nausea are not specific signs of a fentanyl patch overdose. While opioid overdose can cause various symptoms, such as respiratory depression and altered mental status, headache and nausea are not among the primary indicators. However, individual responses to medications can vary, and some patients may experience these symptoms as part of a broader set of overdose signs.

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Correct Answer is A

Explanation

Choice A rationale:

The statement, "It's unfortunate that I have to be in the hospital for this treatment," indicates the need for further teaching. TENS therapy is often used as an outpatient treatment and does not require hospitalization. Patients typically receive instructions on how to use TENS units at home.

Choice B rationale:

The statement, "I wish I didn't have to attach the electrodes to my skin," is a common sentiment but does not necessarily indicate a need for further teaching. Attaching electrodes to the skin is a standard part of using TENS therapy, and it's essential for the treatment to be effective. Some patients may find this aspect of treatment uncomfortable or inconvenient.

Choice C rationale:

The statement, "I'll need to shave the hair off the skin where I place the electrodes," is accurate. Shaving the area where electrodes are placed can improve the contact and effectiveness of the TENS therapy. This statement does not indicate a need for further teaching but rather a good understanding of the preparation process.

Choice D rationale:

The statement, "I hope I don't have to take as many pain pills," is a positive sign that the patient understands that TENS therapy can potentially reduce the need for pain medication. It indicates a reasonable expectation for pain management and does not signal a need for further teaching. .

A. primary care provider. B. pharmaceutical company. C. registered nurse. D. LPN/LVN.

Correct Answer is C

Explanation

Choice A rationale:
The primary care provider (PCP) is responsible for prescribing the PCA but does not typically program the PCA pump. The PCP may set the initial parameters for the PCA, such as the dose and lockout interval, but the actual programming and operation of the PCA pump is typically carried out by the nursing staff.
Choice B rationale:
Pharmaceutical companies manufacture and provide medications, including the medications used in PCA, but they do not program PCA pumps. Programming and administration of the PCA are nursing responsibilities.
Choice D rationale:
Licensed Practical Nurses (LPN) or Licensed Vocational Nurses (LVN) can assist in the administration and monitoring of PCA, but they do not typically program the PCA pump. Registered nurses are usually responsible for the programming and operation of PCA pumps.

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Signs of fentanyl patch overdose are:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client about the use of transcutaneous electrical nerve stimulation (TENS) to manage chronic pain.Which of the following statements by the client indicates the need for further teaching?

Correct Answer is A

Explanation

The nurse takes into consideration that when the patient has an order for patient-controlled analgesia (PCA), the pump will be programmed by the:

Correct Answer is C

Explanation

A nurse is collecting data on a client following administration of an opioid narcotic.Which of the following findings indicates a decrease in the client's pain?

A patient is receiving an ice massage for relief of muscle spasms in the neck.The patient complains that the ice is making the pain worse.Most helpful response from the nurse would be:.

A nurse is assessing the status of a patient who is sleeping.Which assessment data indicate that the patient is most likely in stage 3 of non-rapid eye movement (NREM) sleep?

A nurse is instructing a patient about relaxation techniques for pain management. The patient should:.

The nurse outlines the four phases of nociceptive pain as: (Select all that apply.).

A nurse is reinforcing teaching with a client about using a PCA for postoperative pain management.Which of the following statements should the nurse make?

A patient experiencing pain states that guided imagery has made the pain more manageable in the past.To assist this patient, the nurse should:.

The nurse recommends that normal sleep and rest patterns can best be acquired by suggesting to the patient that they:.