Mr. Jermaine has had good control of chronic pain using a fentanyl (Duragesic) patch. During your shift, Mr. Jermaine reports rapid onset pain at a level 9 (0 to 10 scale) and requests “something for pain that will work quickly.” How will the nurse document the type of pain reported by Mr. Jermaine?

Bad Bunny fell off of the stage during one of his concerts and ended up with a comminuted left forearm fracture. He has a long-arm cast placed during his emergency department visit. Which information should the nurse include in the patient’s discharge instructions?

Dr. Karboski (professor of pharmacology and all-around nice guy) is at the clinic today because of pain in his right hand. Dr. Karboski thinks it is possible that he has carpal tunnel syndrome in his right wrist. The nurse checks for Tinel’s sign, knowing to expect which symptom if it is positive:

Mr. White works as an Instructional Technologist at the UT School of Nursing. His job involves many hours of typing each day. Which one of the following should the occupational health nurse recommend to Mr. White?

Mrs. Almasy had abdominal surgery yesterday. She is receiving morphine through patient-controlled analgesia (PCA). Her basal rate is 1mg per hour continuous, and she has the option to give herself an additional 0.2mg every 12 minutes by using the PCA button. Which action by the nurse is a priority?

The nurse reviews the medication orders for an older patient with osteoarthritis (OA) in both hips who reports level 3 (0 to 10 scale) hip pain while ambulating. Which medication should the nurse offer as initial therapy?

Kristofferson Fox (62M) was involved in a motor vehicle accident and subsequently admitted to the hospital with a right femur fracture requiring surgery. After being hospitalized for 3 days, Kristofferson develops shortness of breath and tachypnea. He tells the nurse, “I feel like I am going to die!” Which action should the nurse take first?

EunYoung Kim, 34F, was in a skiing accident and is being admitted to the emergency department with a suspected left femur fracture. Which assessment finding by the nurse is most important to report to the health care provider?

During a lecture on opioids and pain management in medicine, a nursing instructor discusses the JAMA letter written by Porter and Jick in 1980. The student nurse, having read the JAMA letter, understands that was the primary subject of this letter was … ?

Mrs. Sanchez uses a fentanyl (Duragesic) patch for chronic abdominal pain caused by ovarian cancer. Her patch provides a continuous amount of the medication to be delivered transdermally.  At shift change, Mrs. Sanchez asks the oncoming nurse to administer her prescribed PRN Norco (hydrocodone/APAP) 10mg/325mg tablet. Which action should the nurse take first?