A 57-year-old woman being treated for

end-stage breast cancer has been using a transdermal opioid analgesic as part of the management of pain. Lately, she has been experiencing breakthrough pain. The nurse expects this type of pain to be managed by which of these interventions?
a. Administering NSAIDs
b. Administering an immediate-release opioid
c. Changing the opioid route to the rectal route
d. Making no changes to the current therapy


ANS: B

Nursing

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A patient has a serum sodium level of 119 mEq/L, a blood glucose level of 52 mg/dL, and a cortisol level of 1.1 mg/dL. What does the nurse add to this patient's plan of care?

A. Demonstrate proper technique to check blood glucose. B. Encourage the child to take salt tablets with each meal. C. Teach parents and child about desmopressin acetate (DDVAP). D. Teach parents and child about solumedrol (Solu-Cortef).

Nursing

The nurse is reviewing prenatal vitamin supplements with an expectant client. Which supplement should be included in the teaching?

a. Vitamin A throughout pregnancy b. Multivitamin preparations as soon as pregnancy is suspected c. Folic acid for all women of childbearing age d. Folic acid during the first and second trimesters of pregnancy

Nursing

Florence Nightingale, the first nurse informatician, sought hospital data for comparison purposes to compete which goal?

a. Allow faster and accurate diagnosis. b. Better coordinate care. c. Improve the efficiency of care. d. Show people how their money was spent.

Nursing

Rubella (German or 3-day measles) is caused by what type of organism?

a. Virus b. Bacterium c. Fungus d. Yeast

Nursing