Primary Care, Art and Science of Advanced Practice Nursing 4th Edition by Dunphy
Primary Care, Art and Science of Advanced Practice Nursing 4th Edition by Dunphy
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Chapter 20. Palliative Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which of the following statements is true regarding pain?
| a. | If a patient complains of pain but has no physical signs, he or she is most likely exhibiting drug-seeking behaviors. |
| b. | Acute pain is more intense and severe than chronic pain. |
| c. | Pain is a subjective experience related to actual or potential tissue damage. |
| d. | All of the above |
____ 2. Which of the following would be a cause of visceral pain?
| a. | Bone metastases |
| b. | Intra-abdominal metastases |
| c. | Musculoskeletal inflammation |
| d. | Postsurgical incisional pain |
____ 3. According to the World Health Organization’s analgesic ladder, which drug combination would be most appropriate in an opiate-naïve patient who presents with moderate pain?
| a. | Ibuprofen/imipramine |
| b. | Naproxen/morphine |
| c. | Aspirin/fentanyl |
| d. | Indomethacin/hydrocodone |
____ 4. A 75-year-old man is being treated as an outpatient for metastatic prostate cancer. Which of the following statements is true regarding the management of pain with opioids in the elderly?
| a. | Opioids with a long half-life, such as methadone, are a good choice, because they stay in the system longer, and patients do not have to remember to take multiple pills. |
| b. | Serum creatinine is the best measurement of renal function in the elderly and should be done prior to the initiation of treatment with opioids. |
| c. | Renal clearance of medications is faster in the elderly, so higher dosages of medications are needed to adequately control pain. |
| d. | None of the above |
____ 5. A patient had a transdermal fentanyl patch placed 2 hours ago and is not getting any pain relief. What would be the most appropriate intervention?
| a. | Remove the current patch and replace with a new fentanyl patch at a higher dose. |
| b. | Prescribe a short-acting opioid for breakthrough pain. |
| c. | Remove the patch and switch to a different intravenous opioid. |
| d. | Tell the patient not to worry, as it takes about 12 hours for the patch’s effects to be felt, and he will have relief at that time. |
Answer Section
MULTIPLE CHOICE
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