Multiple cytokines as a factor in the pathogens of MM are an important area of ongoing research. A cytokine acting as an important factor in promoting in vitro growth of myeloma cells is:

Q2.  The nurse is checking on the patient after administering pain medication 30 minutes previously. Which assessment finding best indicates to the nurse that the pain medication was effective?

Q10. A patient who had abdominal surgery yesterday is receiving morphine through a patient-controlled analgesia (PCA) pump. Which action by the nurse is a priority?

Q6. The nurse is caring for a patient who has a PCA pump following total hysterectomy surgery. The nurse sees the visitor push the PCA button while the patient is sleeping quietly. What is the best response of the nurse?

Q13. The nurse is assessing a patient with osteoarthritis who uses naproxen (Naprosyn) for pain management. Which assessment finding would the nurse recognize as likely to require a change in medication?

Q15.  The nurse would anticipate the need to teach a patient who has osteoarthritis (OA) about which medication?

Q14.  The nurse teaches a patient with osteoarthritis (OA) of the hip about how to manage the OA. Which patient statement a need for additional teaching?

Q26.  A 57-year-old woman being treated for end-stage breast cancer has been using a transdermal opioid analgesic as part of the management of pain. Lately, she has been experiencing breakthrough pain. The nurse expects this type of pain to be managed by which of these interventions?

Q20.  A patient was diagnosed with pancreatic cancer last month, and has complained of a dull ache in the abdomen for the past 4 months. This pain has been gradually increasing, and the pain relievers taken at home are no longer effective. What type of pain is the patient experiencing?

Q24. A patient has been treated for lung cancer for 3 years. Over the past few months, the patient has noticed that the opioid analgesic is not helping as much as it had previously and more medication is needed for the same pain relief. The nurse is aware that this patient is experiencing which of these?