Amitriptyline (Elavil) is prescribed for a patient with chronic pain from fibromyalgia. When the nurse explains that this drug is an antidepressant, the patient states that she is in pain, not depressed. What is the nurse’s best response to the patient?

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Question 1 of 5

Amitriptyline (Elavil) is prescribed for a patient with chronic pain from fibromyalgia. When the nurse explains that this drug is an antidepressant, the patient states that she is in pain, not depressed. What is the nurse’s best response to the patient?

A. Antidepressants will improve the patient’s attitude and prevent a negative emotional response to the pain. B. Chronic pain almost always leads to depression, and the use of this drug will prevent depression from occurring. C. Some antidepressant drugs relieve pain by releasing neurotransmitters that prevent pain impulses from reaching the brain. D. Certain antidepressant drugs are metabolized in the liver to substances that numb the ends of nerve fibers, preventing the onset of pain.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A 20-year-old patient with a massive head injury is on life support, including a ventilator to maintain respirations. What three criteria for brain death are necessary to discontinue life support?

A. Irreversible cessation of all brain functions. B. Absence of brainstem reflexes. C. No spontaneous respirations. D. Fear of pain

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

End-of-life palliative nursing care involves

A. Constant assessment for changes in physiologic functioning. B. Administering large doses of analgesics to keep the patient sedated. C. Providing as little physical care as possible to prevent disturbing the patient. D. Encouraging the patient and family members to verbalize their feelings of sadness

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A patient with sickle cell anemia will be given supplemental oxygen and which of the following?

A. IV fluids to adequately hydrate. B. Narcotic pain management when pain is severe. C. Transfusion of red blood cells to correct anemia. D. All of the above.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Steve, who is diagnosed with pneumonia following recent intrathoracic surgery, will likely be prescribed

A. Cephalosporin, such as cefazolin. B. Penicillin, such as amoxicillin. C. Fluoroquinolone, such as levofloxacin. D. Tetracycline, such as doxycycline.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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