ATI Capstone- Fundamentals Pre-Assessment with solutions

***A nurse is caring for a client receiving opiates for pain management. Initially after the pain management plan was started, the client was sedated and sleeping most of the time. After three days on the plan the client is no longer sedated and sleeping regularly. What action should the nurse take? A. Initiate additional non-pharmacological pain management techniques. B. Notify the provider that a dosage adjustment is needed. C. No action is needed at this time. D. Contact the provider to request an alternate method of pain management. Correct Answer - C. No action is needed at this time. Rationale: Opiates initially cause sedation but this effect subsides with maintenance pain control. The pain management plan is working. There is no need to change or add additional methods at this time. ***A nurse is caring for a client receiving radiation treatments for cancer. The client states he is experiencing dryness, redness and scaling at the treatment area. Which of the following should the nurse instruct the client to do? A. Sit in the sun for 15 minutes per day. B. Apply moist heat to the area twice daily. C. Liberally apply prescribed lotion to the area. D. Wash the affected area daily with antimicrobial soap. Correct Answer - C. Liberally apply prescribed lotion to the area. Rationale: Hydrating lotions are commonly prescribed to treat irradiated areas. Antimicrobial soaps can be harsh and further traumatize new epidermal cells. The client should avoid applying other lotions not prescribed by the radiologist to affected areas. Clients receiving radiation therapy should avoid exposing irradiated areas to sun. Moist heat should be avoided over irradiated areas