HEI PN COMPREHENSIVE EXIT EXAM
1. The nurse is administering pain medication for several patients. Which patient
does the nurse administer medication to first?
a. The patient who needs to be premedicated before walkin
...
HEI PN COMPREHENSIVE EXIT EXAM
1. The nurse is administering pain medication for several patients. Which patient
does the nurse administer medication to first?
a. The patient who needs to be premedicated before walking
b. The patient who has a PCA running that needs the syringe replaced The
patient who needs to take a scheduled dose of maintenance pain
c. medication
The patient who is experiencing 8/10 pain and has an immediate order
d. for pain medication
ANS: D
Immediate (STAT) medications need to be given as soon as possible. In addition,
this patient is the priority because of the report of severe pain. The other
patients need pain medication, but their situations are not as high a priority as
that of the patient with the STAT medication order.
2. The nurse is assessing a patient for opioid tolerance. Which finding supports the
nurse’s assessment?
a. The patient needed a substantial dose of naloxone (Narcan).
b. The patient needs increasingly higher doses of opioid to control pain. The
patient no longer experiences sedation from the usual dose of
c. opioid.
The patient asks for pain medication close to the time it is due around
d. the clock.
ANS: B
Opioid tolerance occurs when a patient needs higher doses of an opioid to
control pain. Naloxone (Narcan) is an opioid antagonist that is given to reverse
the effects of opioid overdose. Taking pain medications regularly around the
clock is an effective way to control pain. The pain medication for this patient is
most likely effectively managing the patient’s pain because the patient is not
asking for the medication before it is due. A patient no longer experiencing a side
effect (sedation) of an opioid does not indicate opioid tolerance.
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