Breakthrough Pain Management Quiz for Palliative Care Nurses
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Questions and Answers

What is the most appropriate nursing action for a patient experiencing breakthrough pain after 10 hours of receiving MS Contin?

  • Withhold the pain medications and notify the physician
  • Administer the MS Contin, po, every 10 hours
  • Administer injectable morphine sulfate, 12 mg, IM, p.r.n. (correct)
  • Administer the MS Contin, po, every 12 hours

Which outcome observed during the drain cycle of peritoneal dialysis should be reported immediately to the physician?

  • Clear yellow output
  • Patient complaint of slight cramping
  • A drain output of 50 cc less than instilled
  • Cloudy output (correct)

Which condition would a nurse recognize as contributing to the development of respiratory alkalosis?

  • Chronic obstructive pulmonary disease (COPD)
  • Hiatal hernia
  • Episodes of hyperventilation (correct)
  • Frequent loose stools

What intervention places a child suspected of having Wilms tumor at risk for complications?

<p>Palpating the child’s abdomen every eight hours (A)</p> Signup and view all the answers

What intervention is appropriate for a patient with terminal cancer experiencing severe pain?

<p>Morphine sulfate injections of 10 to 12 mg every four hours p.r.n. intramuscularly (B)</p> Signup and view all the answers

Which of the following foods should the nurse recommend be introduced initially in a six-month-old infant's diet?

<p>Rice cereal (D)</p> Signup and view all the answers

Which of the following findings would a woman who is 24-hours postpartum and has an episiotomy be instructed to report immediately?

<p>Increase in perineal pain sensation (B)</p> Signup and view all the answers

Which of the following measures, if observed in a nurse's aide caring for a patient postoperatively following a pneumonectomy, would require immediate intervention by the nurse?

<p>Positioning the patient on the unoperated side (A)</p> Signup and view all the answers

Which of the following conditions would a nurse recognize as contributing to the development of respiratory acidosis?

<p>Emphysema (D)</p> Signup and view all the answers

Which of the following pulmonary findings would a nurse expect to assess in a patient who has lower lobe pneumonia?

<p>Bronchial breath sounds (C)</p> Signup and view all the answers

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