Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Pediatrics

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The physician ordered an analgesic per orem every four hours PRN for breakthrough pain for a seventeen-year-old patient who is receiving an epidural narcotic. The nurse should be aware that the best time to administer the analgesic is:
  1. When the patient has increased tolerance to the epidural
  2. When the patient’s mother states that the patient is in pain
  3. When the patient states that he is experiencing a sudden increase in pain
  4. Every four hours around the clock
Explanation
Answer - C - The nurse should be aware that the best time to administer the analgesic is when the patient states that he is experiencing a sudden increase in pain. The statement by the patient is a breakthrough pain. The nurse caring for the patient should instruct the patient to request the PRN medication before the pain becomes severe.
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