A patient who has been taking ibuprofen (Motrin) and imipramine (Tofranil) for control of cancer pain is having increased pain. What would the health care provider recommend as an appropriate change in the medication plan?

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Question 1 of 5

A patient who has been taking ibuprofen (Motrin) and imipramine (Tofranil) for control of cancer pain is having increased pain. What would the health care provider recommend as an appropriate change in the medication plan?

Correct Answer: C

Rationale: The correct answer is C. Adding a stronger opioid like transdermal fentanyl can address increased pain.

Question 2 of 5

While teaching a client about their medications, the client asks how long it will take before the effects of lithium take place. What is the best response of the nurse?

Correct Answer: C

Rationale: Lithium typically takes 2 weeks to show therapeutic effects.

Question 3 of 5

A client developed fat embolism syndrome (FES) following a fracture. Which of the following laboratory findings should the nurse expect?

Correct Answer: A

Rationale: The correct answer is A: Decreased serum calcium level. In fat embolism syndrome (FES), fat globules enter the bloodstream and can cause hypocalcemia due to the formation of calcium soaps. This can lead to symptoms such as confusion and tetany. The other choices are incorrect because in FES, there is no direct impact on serum lipids or ESR. Platelet count may be normal or decreased due to the consumption of platelets in the process.

Question 4 of 5

Which of the following would be appropriate to delegate to the nursing assistant?

Correct Answer: A

Rationale: Removing outer clothing is a simple task that does not require clinical judgment.

Question 5 of 5

Which of the following charts does the nurse use to check color vision?

Correct Answer: A

Rationale: The Ishihara polychromatic plates are specifically designed to test for color blindness by using patterns of colored dots.

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