HESI COMPREHENSIVE EXIT EXAM `100% A+

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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 premed... icated 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. [Show More]

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