Question : The nurse is caring for a client diagnosed with tendinitis in the outpatient : 2135453
20. The nurse is caring for a client diagnosed with tendinitis in the outpatient clinic and advises that the client use a topical ointment to assist with pain relief. The client informs the nurse that they have never used a topical ointment for pain relief before so the nurse provides education related to the correct use of the ointment. Which of the following information should the nurse include in the teaching plan?
a. Apply the ointment after a 20-minute massage of the area.
b. Use moist heat for 10 minutes to the area prior to applying the ointment.
c. Test the ointment on a small area of the skin for adverse effects.
d. Use EMLA to the area before applying the ointment.
21. The nurse is caring for a client who is using a fentanyl patch and immediate-release morphine for chronic cancer pain who develops new-onset confusion, dizziness, and a decrease in respiratory rate. Which of the following actions is the priority for the nurse to implement?
a. Remove the fentanyl patch.
b. Notify the health care provider.
c. Continue to monitor the client’s status.
d. Give the prescribed PRN naloxone.
22. These medications are ordered for an older-adult client with arthritis in both hips who is complaining of level 3 (0–10 scale) hip pain while ambulating. Which medication should the nurse use as initial therapy?
a. Acetylsalicylic acid 650 mg orally
b. Naproxen 200 mg orally
c. Oxycodone 5 mg orally
d. Acetaminophen 650 mg orally
23. The health care provider plans to titrate a patient-controlled analgesia (PCA) machine to provide pain relief for a client with acute surgical pain who has never received opioids in the past. Which of the following nursing actions regarding opioid administration are appropriate at this time?
a. Assessing for signs that the client is becoming addicted to the opioid
b. Monitoring for therapeutic and adverse effects of opioid administration
c. Emphasizing that the risk of some opioid adverse effects increases over time
d. Teaching about the need to decrease opioid doses by the second postoperative day