Your breast cancer patient has recently been diagnosed with multiple bony metastases. She attends your surgery with low VAS 3/10 back pain. Currently she takes paracetamol occasionally. Which is the best next step?a. Keep paracetamol and start tramadol if not contraindicated b. Stop paracetamol and start NSAID+fentanyl if not contraindicated c. Stop paracetamol and start fentanyl if not contraindicated d. Stop paracetamol and start NSAID if not contraindicated

The nurse is caring for a client with cancer experiencing chronic pain and episodes of breakthrough pain. Which prescription should the nurse request from the primary healthcare provider (PHCP) to provide effective pain control?A. Hydromorphone via patient-controlled analgesia (PCA)B. Morphine intramuscular (IM) as needed (PRN) for painC. Oxycodone extended-release (ER) by mouth (PO)D. Ketorolac via intravenous (IV) push

Ms Dittmer has been requesting regular paracetamol for abdominal pain.  Her pain score has consistently remained high. What do you do as the EN?Medicine Management Policy 2018 - click hereSelect one:a. As the EN there is no need to complete a full assessment of Ms Dittmer. But using the SBARR tool discuss with your RN/RM partner the situation.b. Give an extra dose of paracetamol, just once won't matterc. As the EN , using the SBARR tool discuss with your RN/RM partner the situation. Together in partnership perform a full patient assessment and plan a way forward in managing Ms Dittmer's pain managementd. Nothing, Ms Dittmer is not permitted any further pain reliefe. Call the prescriber and have new pain medicine prescribed.  No need to discuss with RN/RM partner

Choices: THERAPEUTIC EQUIVALENT or THERAPEUTIC ALTERNATIVE (use uppercase letters)Advil and Medicol Alaxan and Cortal Biogesic and Medicol Bioflu and Neozep Dolfenal and Ponstan

The nurse is caring for a client who is receiving newly prescribed prednisone. Which of the following medications should the client avoid while receiving this medication?A. valsartanB. naproxenC. omeprazoleD. acetaminophen

A patient on neostigmine complained of frequent diarrhea and salivation. Which is the best nursing action for this situation?*1 pointEducate client about drug therapy to alleviate anxiety as these are expected drug effects.Withhold the dose of the drug and refer to physician.Arrange for increasing the dose of the drug as it is not effective.Document patient response and endorse accordingly for bedside care.Anticholinergic drugs are useD*1 pointTo allow the sympathetic system to dominateTo block the parasympathetic system, which is commonly hyperactiveAs the drugs of choice for treating ulcersTo stimulate GI activityAtropine and scopolamine work by blocking what receptor(s) in the parasympathetic nervous system?*1 pointNicotinic receptors onlyMuscarinic and nicotinic receptorsMuscarinic receptors onlyAdrenergic receptors to allow cholinergic receptors to dominateWhich of the following suggestions would the nurse make to help a patient who is receiving an anticholinergic agent reduce the risks associated with decreased sweating?*1 pointCovering the head and using sunscreenEnsuring hydration and temperature controlChanging position slowly and protecting from the sunMonitoring for difficulty swallowing and breathingWhich of the following would the nurse be least likely to include when developing a teaching plan for a patient who is receiving an anticholinergic agent?*1 pointEncouraging the patient to void before dosingSetting up a bowel program to deal with constipationEncouraging the patient to use sugarless lozenges to combat dry mouthPerforming exercises to increase the heart rateRemembering that anticholinergics block the effects of PNS, the nurse would question an order for an anticholinergic drug for patients with which of the following conditions?*1 pointBiliary spasmsBradycardiaGlaucomaAsthmaThe nurse, caring for a client receiving a cholinergic drug, should observe for increased symptoms of which of the following processes?*1 pointHypertensionHeart failureCardiac dysrhythmiasAsthmaA client diagnosed with Alzheimer's disease is prescribed donzepil (Aricept) for treatment. The client has a medical history of osteoarthritis and GERD. For what possible complications of this drug therapy should the nurse assess in the client?*1 pointTachycardiaBradycardiaAspirationMuscle painPyridostigmine (Mestinon) is prescribed for a client diagnosed with myasthenia gravis. Priority nursing assessment includes assessing the:*1 pointAbility to chew and swallow.Vital signs.Urinary status.Bowel motility.The nurse provides preoperative teaching for a client on the side effects of atropine given as a preoperative medication. The nurse informs the client to expect:*1 pointDecreased heart rate.Dry mouth.Sedation.Increased urination.Anticholinergic drugs like atropine are given preoperatively to:*1 pointMinimize the amount of analgesia needed postoperatively.Provide a more rapid induction of anesthesiaDecrease the risk of bradycardia during surgery.Induce relaxation prior to induction of anesthesia.