A patient with cancer who has been receiving an opioid analgesic reports having pain at a new location even though the previous pain is well controlled. The nurse will contact the provider to discuss:
a. breakthrough pain.
b. drug-seeking behavior.
c. infection or metastasis.
d. tolerance to drug therapy.
ANS: C
Caregivers should be alert for new pain; this usually results from a new cause, such as metastasis, infection, or fracture, and should be investigated. Breakthrough pain is pain that occurs even when adequate levels of analgesics are given. Drug-seeking behavior refers to patients who use drugs for euphoric effects instead of for intended effects. Tolerance occurs when more drug is required to receive the same effect.
You might also like to view...
Some clients are at increased risk of being dually diagnosed with a mental health disorder and a substance abuse disorder
The client with a mental health disorder that is more likely to exhibit substance abuse in an attempt to avoid traumatic memories is the client with: 1. PTSD. 2. Dissociative fugue. 3. OCD. 4. Generalized anxiety disorder.
The nurse is providing instructions to the parent of a school-age child who received conscious sedation for a bronchoscopy. What should the nurse include in this teaching? (Select all that apply.)
A) Provide an antiemetic if vomiting occurs. B) Provide the child with something to eat if hungry. C) Encourage the child to engage in physical activity such as riding a bicycle. D) Expect to stay with the child for at least 4 hours to ensure dizziness does not occur. E) Determine that the child is able to swallow without choking before providing solid food.
Which of the following is a type of card file?
a. Admission record b. Progress notes c. Activities-of-daily-living flow sheet d. Kardex
Which nurse demonstrates culturally competent care for a female patient from Russia?
a. Nurse A who asks the patient about cultural factors that influence health care b. Nurse B who interacts with every patient from Russia in the same manner c. Nurse C who learns the cultural variables of every culture, including Russia d. Nurse D who relies on her previous experience with patients from Russia