A nurse is differentiating between breakthrough pain and end-of-dose pain with a group of nursing students. The nurse asks the group, "How is breakthrough pain different from end-of-dose pain?"
A student would be correct to respond that breakthrough pain differs from end-of-dose pain in what manner?
a. It occurs immediately before the next dose is scheduled.
b. It can occur spontaneously at any time during the dosing interval.
c. It can occur when analgesic levels are at their lowest.
d. It occurs immediately after a dose is given.
ANS: B
Breakthrough pain occurs spontaneously or may be precipitated by other movements.
Breakthrough pain is not related to dosing intervals; it can occur anytime and spontaneously.
End-of-dose pain occurs because analgesic levels are lowest at that time, not breakthrough pain.
Breakthrough pain is not related to dosing intervals.
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