Some clients with cancer experience chronic intractable pain characteristic of this disease. The nurse understands the medications of choice to help manage this pain are:

a. oxycodone and ibuprofen. c. morphine sulfate and hydromorphone.
b. meperidine HCl and codeine sulfate. d. hydrocodone and naproxen.


ANS: C

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A Incorrect: These medications are not strong enough to manage this pain.
B Incorrect: These are not appropriate for chronic use.
C Correct: These are the drugs of choice beginning with morphine sulfate.
D Incorrect: These medications are not strong enough to manage this pain.

Nursing

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In the postanesthesia care unit the nurse applies an ice bag to the patient's leg at the surgical site. Which therapeutic effect does the nurse expect from this treatment?

a. Decreased pain and diaphoresis b. Decreased bleeding and vasoconstriction c. Vasodilation and decreased blood flow d. Increased oxygenation and increased in-flammation

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A nurse is teaching the care of the newborn class and one of the members makes a comment about keeping the baby too warm

She says, My mother always said to go by how I feel; if I'm cold, the baby needs more clothing and if I'm too warm, so is the baby." Which of the following is the nurse's best response? A) That is correct; you should go by how warm you are feeling. B) Always keep the baby bundled up to keep warm. C) The baby's temperature responds quickly to the environmental temperature. D) If the baby shivers, add more layers of clothing.

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The nurse inserts an intravenous (IV) catheter using the correct technique and following the recommended steps according to standards of care and hospital policy. Which type of implementation skill is the nurse using?

a. Cognitive b. Interpersonal c. Psychomotor d. Judgmental

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Licensed practical nurses (LPNs) need to be able to identify both driving and restraining forces because they:

1. allow the LPN to be a better nurse. 2. allow the LPN to be a better manager. 3. are key factors in making planned changes. 4. allow the LPN to be more qualified for a job.

Nursing