Break RoomScrubs NCLEX quiz: Pain management for oncologic clients By Scrubs December 9, 2013 ShareTweet 0 iStockphoto | ThinkStock Do you think you could pass the NCLEX? Take this quiz with these sample exam questions to see how you score! [10 questions] A hospice client has increasing pain. Analgesics should be scheduled to provide:Around-the-clock routine administration of analgesics A semi-somnolent state for the client Doses of analgesic when pain is a “5” on a 1-10 pain scale An analgesic-free period so client can complete activities of daily living (ADLs) A client with pancreatic cancer has developed a tolerance to morphine that is administered via subcutaneous pump. The nurse understands that this client: Is experiencing physical dependence Will require an increased dose to provide the same level of pain relief Is tolerating the side effects of the medication well Is now addicted to morphine A client takes 150 mg oral long-acting morphine every 12 hours for abdominal pain related to advanced ovarian cancer. After hospital admission for complications, the physician discontinues the oral morphine, and orders 6 mg/hr IV. The nurse should:Contact the physician to recommend starting the client at the equianalgesic dose of 4 mg/hr Contact the physician to recommend starting the client at the equianalgesic dose of 8 mg/hr Administer one final oral dose while starting the IV infusion Administer the IV morphine infusion as ordered An elderly female with metastatic breast cancer takes long-acting morphine 120 mg every 12 hours for pain. She can also have 20 mg immediate-release morphine every 3 to 4 hours for breakthrough pain. The physician should be contacted when the client uses more than ____ breakthrough doses of morphine in 24 hours.TwoFourFiveSevenA client is taking nonsteroidal anti-inflammatory drug (NSAID) for pain management. Which body system of this client should be particularly assessed? HepaticRenalPulmonaryGastrointestinalWhich of the following sets of signs/symptoms are expected in a client experiencing chronic pain?Elevated heart rate, grimacing, physical inactivity Physical inactivity, moaning, normal vital signs Physical inactivity, normal vital signs, normal facial expressions Elevated heart rate, normal facial expressions, depression A client with lung cancer is being cared for by his wife at home. His pain is increasing in severity. The nurse knows to reeducate the wife when she: Substitutes acetaminophen (Tylenol) for breakthrough pain to avoid tolerance Uses music for distraction from pain, along with hot and cold therapies Administers long-acting pain formulas around the clock Has the husband use a pain scale to rate his pain A nurse assesses the pain of a client with bone cancer. Which of the following is the most significant aspect of pain for this client? IntensityCauseAggravating factors LocationMeperidine (Demerol) is not recommended for chronic cancer-related pain because:Morphine can be taken orally It has a high potential for abuse The agonist-antagonist properties limit functionality It produces a metabolite that may cause seizures A 60-year-old client with chronic cancer pain was placed on an opiod 4 months ago to treat a pain level of 8 on a 1 to 10 pain scale. Currently, this client is again complaining of a pain level of 8 on a 1 to 10 scale without any change in her cancer. This client is exhibiting: Addiction to opiods Withdrawal from opiods Tolerance to opiods Decreased placebo effect Post Views: 1,456
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