Deck 17: Medications for Pain Management and Anesthesia

Question 1

A patient with a head injury should not receive a narcotic agonist for which of the following reasons?

A) The patient will not be able to talk.
B) The drug makes the patient too hyperactive.
C) Addiction is easy at this point.
D) The drug causes a confusing effect.

Answer 1

The drug causes a confusing effect.

Question 2

The nruse would expect to see which of the following symptoms in a patient who is an abuser of narcotics?

A) An outward show of happiness
B) A complete downward spiral in behavior
C) "Hyper" behavior
D) Constipation

Answer 2

Constipation

Question 3

After naloxone (Narcan)is administered to a patient,the nurse would expect to see which of the following symptoms?

A) Complete narcotic sleepiness
B) Rebound narcotic symptoms
C) Difficulty in urination
D) Increased temperature

Answer 3

Rebound narcotic symptoms

Question 4

The physician orders hydromorphone (Dilaudid).The nurse knows that this is the drug of choice because of which of the following reasons?

A) It minimizes some of the common side effects.
B) It will not make the patient sleepy.
C) It is not strong as morphine and is less addicting.
D) It can be given transdermally.

Question 5

The patient asks for pain medication after abdominal surgery.By which of the following means would the nurse determine the patient's level of pain to know how much medication to administer?

A) Have the patient rate the pain on a scale.
B) Give the medication that is ordered.
C) Start pain medication with the smallest dose possible.
D) Reposition the patient and assess the pain.

Question 6

Narcotic agonist analgesics have several side effects,including which of the following? (Select all that apply. )

A) Hyperalertness with euphoria
B) Nausea
C) Dizziness
D) Flushing

Question 7

Patients receiving a narcotic agonist analgesic should be watched for which of the following signs or symptoms?

A) Severe hypertension
B) Reduced cough reflex
C) Overeating
D) Restlessness

Question 8

For which of the following reasons would the physician not order a narcotic agonist analgesic when a patient has abdominal pain of undetermined origin?

A) A narcotic is too strong to use in undetermined pain.
B) It will make it difficult to diagnose the cause of the pain.
C) Narcotics are very addicting.
D) Undetermined pain will respond better to nonnarcotic medications.

Question 9

Contraindications to taking nonnarcotic analgesics include which of the following conditions? (Select all that apply. )

A) Hypertension
B) Emotional problems
C) Drug abuse
D) Asthma

Question 10

Which of the following is an example of a procedure appropriate for local anesthesia?

A) Tonsillectomy
B) Dental procedure
C) Caesarean section
D) Hip replacement

Question 11

A patient comes into the emergency department with symptoms of an overdose.The nurse would expect the physician to order which of the following medications?

A) Naloxone (Narcan)
B) Codeine sulfate
C) Fentanyl (Duragesic)
D) Meperidine (Demerol)

Question 12

A patient has been on hydrocodone for 6 months and asks if this medication is addictive.Which of the following would be the nurse's best response?

A) "Dependence may develop."
B) "This is not an addictive narcotic."
C) "All medications are addictive."
D) "Taking food with this medication will help."

Question 13

Morphine (Duramorph)is ordered for a patient's severe incisional pain.Which of the following is correct concerning the length of time it should take for this medication to be administered IV?

A) 1 to 2 minutes
B) 8 to 10 minutes
C) 2 to 4 minutes
D) 4 to 5 minutes

Question 14

In the nurse's observation of a 24-hour-postoperative elderly patient,the nurse finds the patient in severe pain.He tells the nurse he does not want to take the pain medication because he fears addiction.Which of the following would be the best intervention for this patient?

A) Give the patient methadone.
B) Talk to the patient about his fears.
C) Just give the medication,and do not tell him.
D) Tell the patient how silly he is being.

Question 15

A patient in a motor vehicle accident was brought into the emergency department for his injuries.After x-rays were done,the patient was found to have a fractured pelvis.Which of the following drugs would the nurse expect the physician to order for this patient because of his acute pain?

A) Meperidine (Demerol)
B) Acetaminophen (Tylenol)
C) Propoxyphene (Darvon-N)
D) Morphine sulfate

Question 16

After a patient has been on a narcotic agonist drug for a week,the nurse would next expect the physician to do which of the following?

A) Take the patient off all pain medications.
B) Continue the patient on the medication for another week.
C) Have the patient use distractions from pain.
D) Give another method for pain relief.

Question 17

A patient comes to the emergency department with complaints of back pain.After interviewing this patient,the nurse sees that he is a little cyanotic and has problems following the conversation.The nurse would conclude which of the following about this patient?

A) The patient is sleepy after being up all night.
B) The patient is bored with this whole process.
C) The patient has signs of being overdosed.
D) The patient is on asthma medication.

Question 18

Narcotic agonists are used to control acute pain.Common side effects that patients may develop from taking these drugs include which of the following? (Select all that apply. )

A) Hyperactivity
B) Constipation
C) Diarrhea
D) Dry mouth