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ELNEC 3 Exam Questions Solved with 100% Correct Answers| Already Passed
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ELNEC 3 Exam Questions Solved with100% Correct Answers| Already
Passed
You are taking care of a 68-year-old woman who has advanced metastatic breast cancer. She tells you
that she is afraid she is dying and won't be alive to see her first grandchild born in four weeks. You
pull up a chair to talk with her and say: - ✔✔Can you tell me more about what you are most afraid
of?
What type of pain are antidepressants and anticonvulsants most beneficial for? -
✔✔Neuropathic pain
Which of the following patients should never be given opioid medication? - ✔✔Mr. Smith who
reports developing a rash, hives, and shortness of breath after taking an opioid for dental work.
Mr. T is taking an NSAID for bone pain. Which of the following statements suggests he may be
experiencing a worrisome side effect from the NSAID? - ✔✔Yesterday I had an episode of black,
tarry stools.
Mr. Jones is taking oxycodone/acetaminophen 5/325 mg tablets every four hours for bone pain
related to metastatic cancer. His pain is a constant 6 on a 0-10 scale. Since the current regimen is not
meeting his goals, and is keeping him from moving, you decide to call the physician. The doctor
suggests increasing the medication to two tablets every three hours around-the-clock. What would
your action be? - ✔✔Question the safety of the total daily dose of acetaminophen that Mr. Jones
would be taking.
You are teaching a patient how to take her new prescription for morphine, an opioid pain medication.
Which of the following teaching statements reflects an understanding of potential adverse effects? -
✔✔This medication causes constipation, so you need to take a laxative to prevent that.
, Yolanda has osteoarthritis of the left knee for which she is receiving acetaminophen 1000 mg every 6
hours. She rates her pain at a 4 every time you ask. What do you think an appropriate next step would
be at this time? - ✔✔Ask Yolanda what an acceptable pain level is for her.
John is admitted to the hospital for a pain crisis from his sickle cell disease. He usually takes morphine 30
mg every 12 hours by mouth. He states his pain is a 10 on a 0-10 scale. You tell your colleague that his
pain can't be that bad because he is watching television and talking on the phone. Which important
principle of pain management are you violating? - ✔✔Pain is a subjective experience and is what the
patient reports is.
Joey is a 3-month-old who has a serious chronic illness and will probably die in the next few months. His
mother is concerned that he looks like he is in pain whenever she has to change his diaper. Your best
response to her is: - ✔✔Can you explain to me what Joey looks like that makes you concerned he is in
pain?
You are caring for Ms. P, a 55 year old woman with cancer. She received pain medication less than two
hours ago. A nursing assistant reports that Mrs. P is complaining of pain again. The nursing assistant
says, "She can't be hurting as much as she says she is." What is your appropriate response? - ✔✔Pain
is whatever the patient says it is. Let's assess her further.
You are caring for a 76 year old patient who is unresponsive and close to end of life from a massive
stroke. The patient has a history of breast cancer and had been experiencing severe bone pain in her left
hip prior to her stroke. How do you assess her pain now that she is unresponsive? - ✔✔Assume she
continues to have pain and assess for evidence of wincing/facial grimacing.
Mr. Tate tells you he is very worried about dying. He knows his disease is terminal and he only has
months to live. He tells you he has done "some bad things" in his younger days and thinks God is
going to make him suffer with pain now because of his past. After listening to his story, what is your
best response? - ✔✔Would you like me to contact our chaplain? He's very good at helping people
who have concerns like yours.
You are doing a spiritual assessment on Mrs. H. Which of the following questions are the most
important to understanding her spirituality? - ✔✔What gives your life meaning?
Which of the following statements about dyspnea in patients at end of life is true? - ✔✔Dyspnea
may be relieved by a cool fan blowing on the patient.
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