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N310 Final Exam Questions And Answers 2024/2025
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N310 Final Exam Questions And Answers 2024/2025 N310 Final Exam Questions And Answers 2024/2025 N310 Final Exam Questions And Answers 2024/2025
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N310 Final ExamWhat questions should you ask as part of your pain assessment? Pain is whatever they say it is -
subjective.
-Do you have any pain or soreness or tenderness?
-What is your level of pain between 1-10?
-Where is your pain located?
-What makes it better or worse? How does it affect you?
-When did it start?
-What is the quality/what dos the pain feel like?
-How much pain do you have now?
-What does this pain mean to you?
Use what with Moderate-severe pain? Opioid (to block opioid receptors)
Use what with light-moderate pain? NSAID to lower inflammation
What to use with opioid addiction for pain? Methadone (blocks glutamate)
Nociceptor pain:
- Sequence
- Treatment - Transduction-Transmission-perception-modulation
- Analgesic meds
Neuropathic pain:
-What is it?
,-Treatment - Damage to nerve ending by injury or disease (as with diabetes shingles/zoster).
- Nerve blocks or topical pain meds: lidocaine (transdermal), gabapentin
chronic pain lasts longer than 3-6 months
What route helps resolve pain quickly?
How does the transdermal fentanyl patchwork to manage pain? - IV or PO
- It lasts 72 hrs (3 days), so it is slowly managed.
What can be done to prevent the adverse effects of analgesic agents? - Constipation: stool softener,
increase fluids, hi fiber, inc mobility, passive and active ROM
- Addiction: can add an adjuvant to pain meds like anticonvulsant and/or antidepressant
What are benefits of epidural versus systemic administration of opioids? Fewer side effects, but can
cause itching and headache. If patient develops itching can reduce dose of med
The nurse monitors patient's respiratory status and vital signs every 2 hours. What is the rationale for
these frequent assessments? To make sure they aren't going into respiratory depression/overdosing.
Opioid can cause hypotension, bradycardia, bradymia.
When assessing a client for acute or chronic pain, what question does the nurse ask the client to obtain
the most data? When does it hurt?
A postoperative client is vomiting and states, "I am having a lot of pain—about a 7 on a scale of 0 to 10."
Which route of administration does the nurse choose to administer an analgesic to the client?
Intravenous is best choice for fastest relief.
, A client with chronic pain and a history of poor adherence to medication schedule requires a narcotic
analgesics that can provide a steady delivery of pain relief. Which is most likely to meet this client's
needs? Fentanyl patch: can be put in place and left for 3 days.
What is the most reliable method of assessing pain? Using a pain rating scale
Which client may benefit from the addition of codein to their pain regimen? A client who had a dry,
persistent cough: antitusive
At 10:30 hours, the nurse administers morphine 5mg IV as prescribed for a client pain. The nurse should
expect to assess for the drug's maximum effect at what time? What if it was PO? -10:50 hours: IV peaks
in 20 min, -11:00 hours: PO peaks in 30 min.
What is Norco? opioid: tylenol + hydrocodone
What is Percocet? opioid: acetaminophen + oxycodone
A client had been prescribed morphine 4 to 6mg IV q4hr PRN. The client reports pain rated at 8/10 and
the nurse confirms that the client has most often required 6mg doses. The nurse choose to administer
6mg. The drug is available ampules containing 10mg/ml. How many milliliters should the nurse
withdraw? 0.6 mL
Acetominophen AKA Tylenol
NSAIDs (4) Aspirin, Ibuprofin, Naproxen, Celecoxib
How many grams or Tylenol/acetominophen can one have per day? 4 grams
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