The nurse applies a transdermal patch of fentanyl for a patient with pain due to cancer of the pancreas. The patient puts the call light on 1 hour later and tells the nurse that it has not helped. What is the best response by the nurse?

a) "It should have begun working 30 minutes ago. I will call the doctor and let him know you need something stronger."
b) "It will take approximately 12 to 18 hours for the medication to begin to work, so I will give you something else now to relieve the pain."
c) "It will take about 24 hours for the medication to work. I can't give you anything else or you will overdose."
d) "You have probably developed a tolerance to the medication."


Answer: b) "It will take approximately 12 to 18 hours for the medication to begin to work, so I will give you something else now to relieve the pain."

Nursing

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Where should the nurse palpate to assess the lateral nodes?

A) Anterior axillary fold B) Posterior axillary fold C) Supraclavicular area D) Inner aspect of upper arm

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a. Power d. Achievement b. Affiliation e. Mentoring c. Quality circles f. Collective decision making

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