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In the management of severe pain, which of the following medications is typically considered the first-line treatment?
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Opioids
ntidepressants
wer: B
anation: Opioids are typically considered the first-line treatment for se They are potent analgesic medications that can effectively relieve erate to severe pain. Opioids work by binding to opioid receptors in th al nervous system, thereby reducing the perception of pain. However, rtant for the hospice nurse to carefully assess and monitor the patient' onse to opioids and adjust the dosage as needed to achieve optimal pai
while minimizing side effects.
ch of the following is an example of neuropathic pain? one pain
A
Ans
Expl vere
pain.
mod e
centr it is
impo s
resp n
relief Que Whi
B
Visceral pain
Phantom limb pain
Musculoskeletal pain
Explanation: Phantom limb pain is a type of neuropathic pain that occurs after the amputation of a limb. It is characterized by pain sensations originating from the amputated limb, even though the limb is no longer present. This type of pain is believed to result from damage to the nerves in the residual limb and the brain's perception of the missing limb. It is important for the hospice nurse to recognize neuropathic pain and provide appropriate interventions to manage and alleviate the patient's symptoms.
ch of the following interventions is an example of a non-pharmacologi oach to pain management?
dministering opioids
rescribing antidepressant medication erforming palliative surgery
pplying cold packs wer: D
anation: Applying cold packs is an example of a non-pharmacologic oach to pain management. Non-pharmacologic interventions involve niques or therapies that do not involve medication administration. Col
can help reduce pain and inflammation by numbing the affected are tricting blood vessels. They can be a useful adjunct to pharmacologic agement strategies. Hospice nurses should be knowledgeable about va
Que Whi c appr A P P A Ans Expl appr tech d packs a and cons pain man rious non-pharmacologic interventions toprovide holistic care and address pain using a multimodal approach. A 67-year-old patient who has end-stage pancreatic cancer reports a progressively decreased ability to perform activities of daily living and significant weight loss. The hospice nurse knows that The symptoms that the patient has reported are not related to the cancer diagnosis The patient will recover from this exacerbation but will not return to the previous level of functioning he interdisciplinary team should discuss appetite-enhancing medicatio he use of a stimulant to combat fatigue wer: C anation: In end-stage pancreatic cancer, a progressively decreased abil rform activities of daily living and significant weight loss are commo ators of the beginning of a predictable period of decline. These sympt elated to the cancer diagnosis and signify a decline in the patient's ition. It is important for the hospice nurse to recognize these sympto rovide appropriate care and support to the patient during this period. ch of the following is an example of an adjuvant medication used in p agement? T ns and t Ans Expl ity to pe n indic oms are r cond ms and p Whi ain man Gabapentin Ibuprofen Morphine Fentanyl ch of the following is an example of a complementary therapy used in ative care? alliative surgery adiation therapy sychological therapy cupressure wer: D anation: Acupressure is an example of a complementary therapy used ative care. Complementary therapies are non-conventional treatments sed alongside conventional medical care to enhance well-being and iate symptoms. Acupressure involves applying pressure to specific po e body to promote relaxation, relieve pain, and improve overall well- Whi palli P R P A Ans Expl in palli that are u allev ints on th being. It can be a valuable addition to the comprehensive care provided by hospice nurses to support patients in managing pain and improving their quality of life. To identify the maximum safe dosage of the medication To determine the frequency of medication administration To evaluate the patient's tolerance to the medication anation: The primary goal of determining the baseline and breakthrou when titrating medication for pain management is to establish the mum effective dosage of the medication. This involves finding the lo that provides adequate pain relief without causing excessive side effe dentifying the minimum effective dosage, the hospice nurse can optim anagement while minimizing the risk of adverse reactions. ch of the following factors may influence a patient's experience of pai ear ll of the above ultural beliefs atigue wer: B To establish the minimum effective dosage of the medication Answer: D Expl gh doses mini west dose cts. By i ize pain m Whi n? F A C F Ans Explanation: All of the above factors may influence a patient's experience of pain. Fear, fatigue, and cultural beliefs are just a few examples of the many factors that can impact how a patient perceives and experiences pain. Hospice nurses should consider these factors when assessing and managing pain in order to provide holistic and patient-centered care. Which of the following is a nonverbal indicator of pain in a non- communicative patient? Reporting location of pain Verbalizing pain intensity ointing to the painful area wer: C anation: Grimacing is a nonverbal indicator of pain commonly observ communicative patients who are unable to verbally express their pain. ves facial expressions such as frowning, tightening of facial muscles, ing. Nonverbal indicators of pain are important cues for the hospice n sess and evaluate pain in patients who are unable to communicate ver wing for appropriate pain management interventions to be implemente P Ans Expl ed in non- It invol or winc urse to as bally, allo d.Question: 4
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