Deck 19: Drugs Used for Pain Management

Question 1

How long after the administration of a parenteral pain medication will the nurse complete the next pain assessment to evaluate the effectiveness of the medication?

A) 10 minutes
B) 30 minutes
C) 1 hour
D) 2 hours

Answer 1

30 minutes

Question 2

What is the best way for the nurse to evaluate the effectiveness of the patient's opiate agonist?

A) Ability of the patient to tolerate more activity
B) Increased sleep time throughout the night
C) Reduction of respiratory rate from 24 to 18 breaths/min
D) Verbal report of 2 on a 1 to 10 scale

Answer 2

Verbal report of 2 on a 1 to 10 scale

Question 3

Which statement is true about neuropathic pain?

A) This pain is the result of a stimulus to pain receptors.
B) Patients describe it as dull and aching.
C) It commonly originates in the abdominal region.
D) The pain is a result of nerve injury.

Answer 3

The pain is a result of nerve injury.

Question 4

A patient is taking meperidine (Demerol)as needed for moderate to severe pain following an open appendectomy.The nurse assesses the following: current pain level 2,temperature 99° F,BP 130/76,respirations 10,lung sounds clear,abdomen soft and tender,bowel sounds present.Based on this assessment information,the priority nursing diagnosis is

A) altered breathing pattern.
B) risk for altered body temperature.
C) risk for constipation.
D) pain.

Question 5

Which condition(s)may be managed by salicylates?

A) Migraine headache
B) Swollen joints
C) Fever
D) Muscle aches
E) Myocardial infarction

Question 6

A patient experiencing chronic pain as a result of metastatic cancer has a new order for fentanyl (Duragesic)transdermal patch.The initial patch is applied at 8 AM on Monday.At 8 PM on Monday,the patient reports a pain level of 8.The nurse's best response is to

A) immediately contact the physician.
B) reassess pain level in 30 to 45 minutes.
C) remove current patch and reapply a new patch.
D) provide a PRN analgesic medication as ordered.

Question 7

An 86-year-old patient who was admitted with GI bleeding as a result of salicylate therapy is being discharged.As the nurse reviews the discharge medication list,the patient states that she doesn't understand why Tylenol doesn't work as well as the aspirin she had been taking.What would be the nurse's best response?

A) "Tylenol and aspirin are chemically the same drug."
B) "Tylenol is appropriate for only minor pain."
C) "Tylenol does not help with inflammatory discomfort."
D) "A therapeutic blood level must be established with Tylenol."

Question 8

What term is used to define an awareness of pain?

A) Tolerance
B) Threshold
C) Perception
D) Sensation

Question 9

Which common adverse effect(s)is/are associated with opiate agonists?

A) Dizziness
B) Orthostatic hypotension
C) Respiratory depression
D) Confusion
E) Diarrhea
F) Urinary urgency

Question 10

The nurse is assessing a patient's pain.When the patient describes his pain as cramping and burning,which component of the pain history is being addressed?

A) Depth
B) Location
C) Quality
D) Severity

Question 11

In which case would the nurse be correct in withholding an opiate agonist?

A) Evidence of postural hypotension
B) Presence of constipation
C) Pain rating of 7 on a 0 to 10 scale
D) Respiratory rate of 10 breaths/min

Question 12

What is the advantage of taking a nonsteroidal anti-inflammatory drug (NSAID)that is a COX 2 inhibitor?

A) The medication is cheaper than aspirin.
B) There are fewer GI adverse effects.
C) They are more effective than COX 1 inhibitors.
D) They have no known adverse effects.

Question 13

Which patient assessment would indicate to the nurse that salicylate toxicity is occurring?

A) Gastrointestinal (GI) bleeding
B) Increased bleeding times
C) Tinnitus
D) Occasional nausea

Question 14

Which medication is contraindicated when a patient is taking warfarin (Coumadin)?

A) Aspirin
B) Acetaminophen (Tylenol)
C) Propoxyphene (Darvon)
D) Morphine (Roxanol)

Question 15

The nurse is completing an assessment on a nonverbal adult patient.Which type of pain scale assessment tool is the most accurate to use?

A) TPPPS
B) FLACC
C) POCIS
D) MOPS

Question 16

Which additional nursing intervention(s)would be effective with pain management in the pediatric population?

A) Provide diversional activities such as coloring, puzzles, and games.
B) Allow uninterrupted sleep and rest.
C) Perform hygiene measures.
D) Encourage parental participation with caregiving to diminish the child's anxiety.
E) With the health care provider's approval, encourage the child to drink eight to ten 8-ounce glasses of fluid daily.

Question 17

Which sign or symptom displayed by a patient would be indicative of opiate withdrawal?

A) Bradycardia
B) Diarrhea
C) Lethargy
D) Hypothermia

Question 18

What information is most accurate regarding the nurse's understanding of pain management?

A) Older patients have difficulty describing their pain level.
B) Encourage patients to report pain before the pain becomes too severe.
C) Use the smallest dose of medication possible to control pain.
D) Pain medication administration ordered PRN will maintain a constant blood level.

Question 19

Which action will the nurse take when a patient receiving morphine sulfate via percutaneous coronary angioplasty (PCA)has a shallow,irregular respiratory rate of 6 breaths/min?

A) Elevate the patient's head of bed to facilitate lung expansion.
B) Increase the patient's primary intravenous (IV) flow rate.
C) Complete the FLACC scale.
D) Notify the health care provider and prepare to administer naloxone (Narcan).

Question 20

Which medication would the nurse administer to a patient who is rating the pain at 8 on a 0 to 10 scale?

A) Acetaminophen (Tylenol)
B) Morphine (Roxanol)
C) Oxycodone (OxyContin)
D) Oxycodone and aspirin (Percodan)

Question 21

When teaching a patient who is starting therapy with NSAIDs,the nurse must be sure to mention drug interactions with which drug(s)?

A) Warfarin (Coumadin)
B) Lithium (Eskalith)
C) Hydroxyzine (Vistaril)
D) Insulin
E) Diuretics
F) Digitalis (Digoxin)

Question 22

When performing a baseline neurologic assessment prior to the administration of an NSAID medication,the nurse will assess which patient characteristic(s)?

A) Vital signs
B) Orientation to date, time, and place
C) Mental alertness
D) Bowel sounds
E) Concurrent use of anticoagulant agents