The nurse is caring for an adolescent with osteosarcoma being admitted to undergo chemotherapy. The adolescent had a right above-the-knee amputation 2 months ago and has been experiencing "phantom limb pain."
Which prescribed medication is appropriate to administer to relieve phantom limb pain?
a. Amitriptyline (Elavil)
b. Hydrocodone (Vicodin)
c. Oxycodone (OxyContin)
d. Alprazolam (Xanax)
ANS: A
Amitriptyline (Elavil) has been used successfully to decrease phantom limb pain. Opioids such as Vicodin or OxyContin would not be prescribed for this pain. A benzodiazepine, Xanax, would not be prescribed for this type of pain.
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The charge nurse, who is a member of Generation X, is training a new nurse, who happens to belong to the Millennial generation. Which aspects of the two nurses' work ethics may be in conflict?
Select all that apply. A) Self-directed versus need for feedback B) Loyal to profession versus rush of new challenges and opportunities C) Workaholic versus need for work-life balance D) Respect authority versus questioning authority E) Prefer personal form of communication versus personal cell phones
A client's vital signs 4 hours ago were temperature (oral) 101.4°F (38.6°C), heart rate 110 beats/min, respiratory rate 26 breaths/min, and blood pressure 124/78 mm Hg. The temperature is now 99.4°F (37.4°C)
Based only on the expected relationship between temperature and respiratory rate, the nurse might best anticipate the client's respiratory rate to be: a. 16 b. 18 c. 20 d. 22
The nurse instructs a patient with type 2 diabetes mellitus on the use of a glucometer for self-monitoring. Which patient statements about glucometer performance indicate that teaching has been effective?
Select all that apply. 1. Correctly apply the blood to the meter strip. 2. Follow manufacturer's recommendation regarding cleaning of meter. 3. A patient with sickle cell anemia may need another way to check blood glucose levels. 4. Grapefruit juice should not be ingested when using the glucometer. 5. A sufficient amount of blood must be applied to the strip.
A client has been diagnosed with prostatic hyperplasia. Based on this information, what are common complaints that the client might communicate with the nurse?
1 . Difficulty in urination 2 . Retention of urine 3 . Inability to have an erection 4 . Shorter period between orgasm and ability to achieve another erection A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4