Question 1

The patient has intractable pain,and the physician has proposed a nerve block.The nurse plans to teach the patient about nerve blocks.Which statement would be included in the best plan of the nurse?

Accepted Answer

D

Question 2

Which of the following is an adverse effect associated with morphine,and would be the priority if present?

Accepted Answer

Respiratory depression is a life-threatening adverse effect of morphine and would be the priority if present, as it can lead to respiratory arrest and death. Restlessness, constipation, and psychological dependence are all potential adverse effects of morphine, but they are not as immediately life-threatening as respiratory depression.

Question 3

The patient receives morphine for pain.He asks the nurse how it works to relieve pain.What is the best response by the nurse?

Accepted Answer

Morphine works by binding to opioid receptors in the brain, which are part of the reward system and can induce feelings of pleasure and pain relief.

Question 4

Identify the correct statement regarding opioid receptors.

Accepted Answer

Opioid agonists activate mu and kappa receptors, which are responsible for producing analgesia. Sigma receptors are not related to analgesia and kappa receptors are not of greatest concern from a pharmacologic standpoint. Opioids do interact with other receptors, but the primary ones for analgesia are mu and kappa.

Question 5

What is a priority assessment to ask a postsurgical patient prior to administration of an opioid analgesic?

Accepted Answer

Assessing the patient's pain level on a scale of 1-to-10 is crucial to determine the necessity and appropriate dosage of the opioid analgesic.

Question 6

Identify the correct statement regarding the neural mechanism of pain

Accepted Answer

Alpha fibers are myelinated and conduct nerve impulses faster than unmyelinated C fibers.

Question 7

A patient on a morphine patient-controlled analgesic (PCA)IV pump has a respiratory rate of 8,and is difficult to arouse.Which of the following would be the priority intervention?

Accepted Answer

The patient is showing signs of opioid overdose, such as a low respiratory rate and difficulty arousing. Administering a medication that blocks mu and kappa receptors, such as naloxone, is the priority intervention to reverse the effects of morphine.

Question 8

The nurse teaches patients about nonpharmacological techniques for pain management.The nurse determines learning has occurred when the patients make which statement(s)? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Nonpharmacological techniques are a good adjunct to pharmacotherapy and may be used in place of drugs.

Question 9

A dull,aching pain is defined as

Accepted Answer

Visceral pain is often described as a dull, aching pain that originates from the internal organs or soft tissues. It is a type of pain that is difficult to localize and often described as a deep, pressure-like sensation.

Question 10

What is an important instruction for the nurse to give to the patient who is taking acetaminophen (Tylenol)?

Accepted Answer

The important instruction for the patient taking acetaminophen (Tylenol) is to avoid drinking alcohol with it. This is because alcohol can increase the risk of liver damage that can be caused by acetaminophen. It is important for patients to be aware of this potential interaction and avoid consuming alcohol while taking acetaminophen.

Question 11

The patient,addicted to heroin,is being treated for opioid dependence.He has been prescribed methadone (Dolophine).The patient asks how this will help because methadone (Dolophine)is another opioid.What is the best response by the nurse?

Accepted Answer

Methadone (Dolophine) is a long-acting opioid agonist that helps to prevent withdrawal symptoms without causing the euphoric high associated with heroin use. It is used as part of a medically supervised treatment program to help individuals with opioid dependence transition to a drug-free life. Option A is untrue and may lead to fear-mongering, while options C and D suggest a false cure and allergy, respectively.

Question 12

The patient comes to the emergency department with a head injury,broken ribs,and internal bleeding.Opioid analgesics are contraindicated.What does the nurse recognize as the primary rationale for this?

Accepted Answer

The answer of The patient comes to the emergency department...

Question 13

The postsurgical patient has an order for morphine 2 mg IV push every 2 hours and propoxyphene 100 (Darvon 100)every 3 hours.He received the morphine 2 hours ago,and is complaining of pain again.What will the best plan of the nurse include?

Accepted Answer

The best plan of the nurse would be to assess the patient's level of pain before administering any medication. This will help determine if the patient is experiencing breakthrough pain or if the current medication regimen needs to be adjusted. The other options may not be appropriate without first assessing the patient's pain level.

Question 14

The nurse provides care for several patients.For which patient would the nurse assess acetaminophen (Tylenol)to be contraindicated?

Accepted Answer

Acetaminophen would be contraindicated for a patient who socially drinks alcohol, as chronic or excessive alcohol consumption can increase the risk of liver damage. Acetaminophen is metabolized in the liver, and therefore patients with liver disease or alcoholism should be cautious when taking this medication. The other patients listed would not have contraindications for acetaminophen, as long as they are not allergic to the medication or have a history of liver disease or alcoholism.

Question 15

Which of the following treatments has the highest potential to provide total pain relief?

Accepted Answer

Neuronal injection of alcohol is an invasive procedure that destroys the affected nerve, providing long-term, sometimes permanent pain relief. This is the only option among the given choices that has the potential to provide total pain relief. However, it should only be considered as a last resort and after consulting with a pain specialist.

Question 16

The patient has a patient-controlled analgesia (PCA)pump following surgery.The nurse keeps naloxone (Narcan)in the patient's room as per protocol.What does the nurse recognize as the rationale for this protocol?

Accepted Answer

Naloxone (Narcan) is the antidote for opioid overdose, which could occur if the patient accidentally administers too much medication through the patient-controlled analgesia (PCA) pump or if there is a malfunction of the pump. Keeping naloxone (Narcan) in the patient's room allows the nurse to quickly reverse the effects of the narcotic in the patient-controlled analgesia (PCA) pump if an overdose occurs.

Question 17

The patient receives morphine for pain.Which comment by the patient does the nurse assess to be a side effect of morphine?

Accepted Answer

The answer of The patient receives morphine for pain.Which comment...

Question 18

The patient receives aspirin.The nurse assesses an adverse effect to this drug when the patient makes which response?

Accepted Answer

Tinnitus, or a constant ringing in the ears, is a known adverse effect of aspirin. Gray stools could indicate bleeding, which would also be an adverse effect, but it is not specific to aspirin. Headaches and increased urination are not typically associated with aspirin use.

Question 19

The nursing instructor teaches the nursing students about neural mechanisms of pain.What does the nursing instructor teach about substance P?

Accepted Answer

The answer of The nursing instructor teaches the nursing students...

Question 20

The patient is to start on sumatriptan (Imitrex)for migraine headaches.What will the best plan of the nurse include as it relates to this medication? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Sumatriptan can cause dizziness or drowsiness, so patients should be cautious about driving until they know how it affects them. It should not be taken with pseudoephedrine due to potential drug interactions.

Quiz 18: Drugs for the Control of Pain

The patient has intractable pain,and the physician has proposed a nerve block.The nurse plans to teach the patient about nerve blocks.Which statement would be included in the best plan of the nurse?

Which of the following is an adverse effect associated with morphine,and would be the priority if present?

The patient receives morphine for pain.He asks the nurse how it works to relieve pain.What is the best response by the nurse?

Identify the correct statement regarding opioid receptors.

What is a priority assessment to ask a postsurgical patient prior to administration of an opioid analgesic?

Identify the correct statement regarding the neural mechanism of pain

A patient on a morphine patient-controlled analgesic (PCA) IV pump has a respiratory rate of 8,and is difficult to arouse.Which of the following would be the priority intervention?

The nurse teaches patients about nonpharmacological techniques for pain management.The nurse determines learning has occurred when the patients make which statement(s) ? Credit will be given only if all correct choices and no incorrect choices are selected.

A dull,aching pain is defined as

What is an important instruction for the nurse to give to the patient who is taking acetaminophen (Tylenol) ?

The patient,addicted to heroin,is being treated for opioid dependence.He has been prescribed methadone (Dolophine) .The patient asks how this will help because methadone (Dolophine) is another opioid.What is the best response by the nurse?

The patient comes to the emergency department with a head injury,broken ribs,and internal bleeding.Opioid analgesics are contraindicated.What does the nurse recognize as the primary rationale for this?

The postsurgical patient has an order for morphine 2 mg IV push every 2 hours and propoxyphene 100 (Darvon 100) every 3 hours.He received the morphine 2 hours ago,and is complaining of pain again.What will the best plan of the nurse include?

The nurse provides care for several patients.For which patient would the nurse assess acetaminophen (Tylenol) to be contraindicated?

Which of the following treatments has the highest potential to provide total pain relief?

The patient has a patient-controlled analgesia (PCA) pump following surgery.The nurse keeps naloxone (Narcan) in the patient's room as per protocol.What does the nurse recognize as the rationale for this protocol?

The patient receives morphine for pain.Which comment by the patient does the nurse assess to be a side effect of morphine?

The patient receives aspirin.The nurse assesses an adverse effect to this drug when the patient makes which response?

The nursing instructor teaches the nursing students about neural mechanisms of pain.What does the nursing instructor teach about substance P?

The patient is to start on sumatriptan (Imitrex) for migraine headaches.What will the best plan of the nurse include as it relates to this medication? Credit will be given only if all correct choices and no incorrect choices are selected.