The practical nurse (PN) is managing a patient who is receiving fentanyl subcutaneously (SubQ) every hour for pain
control.
The patient’s pain level remains at 8 on a 10-point scale.
What is the most appropriate action for the PN to take?
Request an increased dose from the healthcare provider.
Continue monitoring the patient and assessing the pain level.
Initiate non-pharmacological methods of pain control.
Inform the patient about the potential addictiveness of the medication.
The Correct Answer is A
Choice A rationale
If a patient’s pain level remains high despite receiving regular doses of fentanyl, it may indicate
that the current dose is insufficient. The PN should report this to the healthcare provider, who
may decide to increase the dose.
Choice B rationale
While it’s important to continue monitoring the patient and assessing the pain level, this alone
may not be sufficient if the patient’s pain remains uncontrolled.
Choice C rationale
Non-pharmacological methods of pain control can be beneficial, but they are typically used in
conjunction with medication, not as a replacement for it when the pain level is high.
Choice D rationale
Informing the patient about the potential addictiveness of the medication is important, but it’s
not the most appropriate action to take in response to uncontrolled pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While taking medication with meals can sometimes help prevent nausea, this is not specifically related to the use of the expectorant guaifenesin. Therefore, this statement does not show that the client has understood the instructions related to the use of the expectorant.
Choice B rationale
Staying upright for 30 minutes after taking medication can sometimes help prevent indigestion, but this is not specifically related to the use of the expectorant guaifenesin. Therefore, this statement does not show that the client has understood the instructions related to the use of the expectorant.
Choice C rationale
Increasing fluid intake can help loosen mucus or phlegm in the lungs, which is the primary purpose of an expectorant like guaifenesin. Therefore, this statement shows that the client has understood the instructions related to the use of the expectorant.
Choice D rationale
While it’s important to avoid combining certain medications due to potential interactions, there’s no specific interaction between guaifenesin and levothyroxine that would cause injury. Therefore, this statement does not show that the client has understood the instructions related to the use of the expectorant.
Correct Answer is C
Explanation
Choice A rationale
Pyridoxine with a B complex multivitamin is not typically associated with ototoxicity (ringing
in the ears)7.
Choice B rationale
Rifampin is an antitubercular medication, but it is not commonly associated with ototoxicity.
Choice C rationale
Gentamicin is an antibiotic that is known to potentially cause ototoxicity, including ringing in
the ears. Therefore, if a patient who has been receiving gentamicin reports ringing in the ears,
this should be reported to the healthcare provider.
Choice D rationale
Isoniazid is an antitubercular medication, but it is not commonly associated with ototoxicity.
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