The nurse is aware that the new order for indomethacin (Indocin) involves the administration of a:.

Nonsteroidal anti-inflammatory medication.

Adjuvant analgesic.

COX-2 inhibitor.

Narcotic analgesic.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Indomethacin (Indocin) is a nonsteroidal anti-inflammatory medication (NSAID). It is commonly used to reduce inflammation and relieve pain, making it a suitable choice for pain management in conditions where inflammation plays a role, such as arthritis or musculoskeletal injuries.

Choice B rationale:

Indomethacin is not typically categorized as an adjuvant analgesic. Adjuvant analgesics are medications that are not primarily designed for pain relief but may enhance the effects of analgesics when used in combination.

Choice C rationale:

Indomethacin is not a COX-2 inhibitor. COX-2 inhibitors are a specific class of NSAIDs that target the COX-2 enzyme while sparing COX-1. Indomethacin is a traditional NSAID that inhibits both COX-1 and COX-2.

Choice D rationale:

Indomethacin is not a narcotic analgesic. Narcotic analgesics, also known as opioids, are a separate class of medications used for the management of moderate to severe pain. Indomethacin does not belong to this class and has a different mechanism of action.

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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. The CPAP device should fit loosely on the face. B. The CPAP device delivers less pressure during exhalation than inhalation. C. The CPAP device requires an invasive ventilation tube. D. The CPAP device should be placed over the nose.

Correct Answer is D

Explanation

Choice A rationale:
The CPAP device should not fit loosely on the face. It should fit snugly to create a proper seal and maintain positive airway pressure. A loose-fitting CPAP mask may not effectively treat obstructive sleep apnea (OSA).
Choice B rationale:
The CPAP device typically delivers consistent pressure throughout both inhalation and exhalation. It does not deliver less pressure during exhalation. The purpose of CPAP is to maintain a constant pressure to keep the airway open during both phases of the respiratory cycle.
Choice C rationale:
The CPAP device does not require an invasive ventilation tube. It uses a mask that covers the nose or both the nose and mouth to deliver positive airway pressure. It is non-invasive and is designed to keep the airway open by delivering pressurized air.

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The nurse is aware that the new order for indomethacin (Indocin) involves the administration of a:.

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

A nurse is assisting with teaching a client who has obstructive sleep apnea (OSA) about continuous positive airway pressure (CPAP). Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

A nurse is preparing a patient for home care following cancer treatment. He is discussing the use of the fentanyl patch. Which of the following would be the most important instruction regarding safety?

A nurse is reinforcing teaching about pain control with a client who has acute pain following a subtotal gastric resection. Which of the following client statements indicates an understanding of pain control?

A patient has fallen and injured her knee.It is not fractured, but there is considerable swelling and pain.She asks which over-the-counter analgesic would be best to take for her discomfort.The nurse tells her that one with NSAID properties would be best.Which would it be best to take?

A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night and wants to know if this is normal. The nurse explains that an older adult:.

The nurse assesses a patient's sleep for NREM (non-rapid eye movement) sleep because this sleep has the characteristics of:.

One thing the nurse would ask the patient to do to try to locate the reason for her insomnia is to:.

The patient with a recent abdominal incision has an abdominal binder applied. The nurse explains that this appliance helps reduce pain by:.

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