A patient who has cancer reports pain as "burning" and "shooting" alternating with feelings of numbness and coldness. The nurse will contact the provider to discuss the use of which medication?
a. Acetaminophen
b. Ibuprofen
c. Imipramine (Tofranil)
d. Oxycodone (OxyContin)
ANS: C
This patient is describing neuropathic pain, which results from injury to peripheral nerves. This type of pain responds poorly to opioid analgesics but does respond to adjuvant analgesics, which include antidepressants such as imipramine. Acetaminophen and ibuprofen are used for mild nociceptive pain, and oxycodone is used for more severe nociceptive pain.
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A nurse is assessing a patient with bronchiectasis. Which of the following would the nurse expect to note in her documentation?
A) Sudden, pleuritic chest pain B) Wheezes on auscultation C) Increased A-P diameter D) Clubbing of the fingers
Childbirth preparation offers several advantages including which of the following? Note: Credit will be given only for all correct choices and no incorrect choices. Select all that apply
1. It helps a pregnant woman and her support person understand the choices in the birth setting. 2. It promotes awareness of available options. 3. It provides tools for a pregnant woman and her support person to use during labor and birth. 4. Women who receive continuous support during labor require more analgesia, and have more cesarean and instrument births. 5. Each method has been shown to shorten labor.
Which of the following characteristics differentiates conversion disorder from malingering disorder?
A) Conversion disorder is normally permanent, while malingering disorder is transient in response to stress. B) Conversion disorder is an unconscious process, while malingering disorder is a deliberate fabrication of symptoms. C) Conversion disorder produces reward, while malingering disorder normally results in punishment or difficulty. D) Conversion disorder has no pathophysiological cause, while malingering disorder has a neurological or endocrine basis.
For patients who are candidates for thrombolytic therapy, a "door to needle" interval of ____________________ minutes should be the goal
Fill in the blank with the appropriate word.