When a smiling and cooperative patient complains of discomfort, nurses caring for this patient often harbor misconceptions about the patient's pain. Which of the following is true?

Regular use of narcotic analgesics leads to drug addiction

Amount of pain is reflective of actual tissue damage

Patients are the best judges of their pain

Chronic pain is psychological in nature

Answer and Explanation

The Correct Answer is C

A. Regular use of narcotic analgesics leads to drug addiction. While opioids can cause dependence with prolonged use, addiction is characterized by compulsive drug-seeking behavior. When used appropriately for pain management, addiction risk is low.
B. Amount of pain is reflective of actual tissue damage. Pain perception varies widely among individuals. Some may experience severe pain with minimal tissue damage, while others may have little pain despite significant injury.
C. Patients are the best judges of their pain. Pain is subjective, and only the patient can accurately describe its intensity and quality. Nurses should trust the patient's self-report rather than rely solely on appearance or behavior.
D. Chronic pain is psychological in nature. Chronic pain often has a physiological basis, such as nerve damage or inflammation, though psychological factors can influence pain perception. It is not purely psychological.

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Correct Answer is D

Explanation

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.

Correct Answer is ["1.3"]

Explanation

Calculation:

Formula:

Dose to administer (mL) = Ordered dose (mcg) / Available dose (mcg/mL)

Given:

Ordered dose: 400 mcg.

Available dose: 300 mcg/mL.

Volume (mL) = 400 mcg / 300 mcg/mL

= 1.333... mL

Rounded to the nearest tenth: 1.3 mL.

The nurse will administer 1.3 mL of Neupogen.

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When a smiling and cooperative patient complains of discomfort, nurses caring for this patient often harbor misconceptions about the patient's pain. Which of the following is true?

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Naxlex Comprehensive Predictor Exams

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)

Correct Answer is D

Explanation

The physician orders Neupogen 400mcg SC daily. The medication is supplied in 300 mcg/mL. How many milliliters will the nurse administer?_(SHADE SYRING #1 ON SUPPLEMENT HANDOUT-round to tenths place)

Correct Answer is ["1.3"]

Explanation

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