A nurse is assisting in the care of a patient who is receiving pain medication by the epidural route.
It is most important to monitor this patient for which adverse drug effects?

Constipation.

Hypoventilation.

Nausea.

Headache.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Constipation is not a common adverse effect of pain medication administered by the epidural route. Pain medication primarily affects the central nervous system and does not typically impact the gastrointestinal system in a way that would lead to constipation.

Choice B rationale:

Hypoventilation is the correct answer. When opioids or other potent pain medications are administered by the epidural route, they can depress the respiratory center in the brain, leading to hypoventilation (slow or inadequate breathing). This is a critical concern and the most important adverse effect to monitor because it can lead to respiratory compromise or even respiratory arrest.

Choice C rationale:

Nausea can be a side effect of some pain medications, but it is not the most important adverse effect to monitor in a patient receiving epidural pain medication. Nausea can often be managed with antiemetic medications.

Choice D rationale:

Headache is not a common adverse effect of epidural pain medication. The administration of pain medication into the epidural space is localized to the spinal area and does not typically lead to headaches.

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Correct Answer is D

Explanation

Choice A rationale:
Magnesium is not typically considered a natural supplement that enhances sleep. While magnesium is an essential mineral for overall health, it is not commonly used as a sleep aid.
Choice B rationale:
Calcium is also not commonly used as a natural supplement to enhance sleep. While calcium is important for bone health and various physiological processes, it is not primarily associated with improving sleep.
Choice C rationale:
Oil of lavender is known for its calming and soothing properties, and it can have a relaxing effect. However, it is not as commonly used or as effective as melatonin for improving sleep. Lavender oil is more often used for its aromatherapy benefits.

A. "It's unfortunate that I have to be in the hospital for this treatment.”. B. "I wish I didn't have to attach the electrodes to my skin.”. C. "I'll need to shave the hair off the skin where I place the electrodes.”. D. "I hope I don't have to take as many pain pills.”. .

Correct Answer is A

Explanation

Choice A rationale:

The statement, "It's unfortunate that I have to be in the hospital for this treatment," indicates the need for further teaching. TENS therapy is often used as an outpatient treatment and does not require hospitalization. Patients typically receive instructions on how to use TENS units at home.

Choice B rationale:

The statement, "I wish I didn't have to attach the electrodes to my skin," is a common sentiment but does not necessarily indicate a need for further teaching. Attaching electrodes to the skin is a standard part of using TENS therapy, and it's essential for the treatment to be effective. Some patients may find this aspect of treatment uncomfortable or inconvenient.

Choice C rationale:

The statement, "I'll need to shave the hair off the skin where I place the electrodes," is accurate. Shaving the area where electrodes are placed can improve the contact and effectiveness of the TENS therapy. This statement does not indicate a need for further teaching but rather a good understanding of the preparation process.

Choice D rationale:

The statement, "I hope I don't have to take as many pain pills," is a positive sign that the patient understands that TENS therapy can potentially reduce the need for pain medication. It indicates a reasonable expectation for pain management and does not signal a need for further teaching. .

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A nurse is assisting in the care of a patient who is receiving pain medication by the epidural route.It is most important to monitor this patient for which adverse drug effects?

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Naxlex Comprehensive Predictor Exams

A natural supplement that can enhance sleep for many people is:.

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client about the use of transcutaneous electrical nerve stimulation (TENS) to manage chronic pain.Which of the following statements by the client indicates the need for further teaching?

Correct Answer is A

Explanation

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The nurse performing a focused assessment on pain will assess: (Select all that apply.).

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A nurse is assisting in the care of a patient who is receiving pain medication by the epidural route.
It is most important to monitor this patient for which adverse drug effects?