Question 1

The emergency department nurse is admitting a client with a tentative diagnosis of acetaminophen (Tylenol)overdose.The nurse would assess this client for which of the following symptoms?&#10;A) Decreased bowel sounds&#10;B) A state of hyperalertness&#10;C) Dysphagia&#10;D) Abdominal pain&#10;

Accepted Answer

Acetaminophen overdose can cause liver damage, which can present with symptoms such as abdominal pain, nausea, and vomiting. Decreased bowel sounds, dysphagia, and hyperalertness are not typically associated with acetaminophen overdose.

Question 2

The nurse working in a skilled nursing facility would be especially vigilant to detect adverse effects in older adult clients taking which of the following analgesics?&#10;A) Meperidine (Demerol)&#10;B) Ibuprofen (Motrin)&#10;C) Acetylsalicylic acid (aspirin)&#10;D) Hydrocodone (Vicodin)&#10;

Accepted Answer

Meperidine (Demerol) should be avoided in older adults due to its toxicity and risk for adverse effects, such as confusion, delirium, and seizures. The other options (Ibuprofen, Aspirin, and Hydrocodone) can be used in older adults but may also require monitoring for potential adverse effects, such as gastrointestinal bleeding or respiratory depression.

Question 3

A client has been started on analgesic therapy with a nonsteroidal antiinflammatory drug.The nurse would question the order because of the risk for significant drug interactions if the client was also prescribed to take which of the following types of drugs?

A) An opioid analgesic
B) An anticoagulant
C) An inotropic agent
D) A bulk laxative

An anticoagulant

Accepted Answer

Nonsteroidal antiinflammatory drugs (NSAIDs) can increase the risk of bleeding when taken with anticoagulants, so the nurse would question this combination of medications. Opioid analgesics may be prescribed in combination with NSAIDs for better pain control. Inotropic agents are used to treat heart failure and would not typically be prescribed in combination with NSAIDs. Bulk laxatives are also unlikely to have significant drug interactions with NSAIDs.

Question 4

Ibuprofen (Motrin)has been added to the pain management regimen for a client with bone cancer pain.The nurse explains to the client that this drug will aid in pain management because it demonstrates which of the following characteristics?

A) Antiplatelet
B) Antiseptic
C) Antiinflammatory
D) Antipyretic

Accepted Answer

Ibuprofen is an NSAID (nonsteroidal anti-inflammatory drug) and demonstrates anti-inflammatory properties. It decreases swelling and inflammation, which can contribute to pain relief in conditions such as bone cancer pain.

Question 5

Which of the following findings by a nurse assessing a client with severe aspirin overdose would be unexpected?&#10;A) Hyperthermia&#10;B) Hyperglycemia&#10;C) Hypothermia&#10;D) Hypoglycemia&#10;

Accepted Answer

Hypothermia would be unexpected in a client with severe aspirin overdose as one of the major effects of aspirin toxicity is hyperthermia. The other options (A, B, D) are all potential findings in a client with aspirin overdose.

Question 6

The nurse notes during a medication history that a client takes sumatriptan (Imitrex).The nurse questions the client about a history of which of the following health problems?&#10;A) Premenstrual syndrome&#10;B) Migraine headaches&#10;C) Rheumatoid arthritis&#10;D) Chronic low back pain&#10;

Accepted Answer

Sumatriptan (Imitrex) is a medication used to treat migraines. The nurse would want to assess for a history of migraine headaches before administering this medication.

Question 7

The nurse caring for a client in pain is aware that which type of pain is usually the result of direct stimulation of intact afferent nerve endings?&#10;A) Visceral pain&#10;B) Somatic pain&#10;C) Neuropathic pain&#10;D) Referred pain&#10;

Accepted Answer

Somatic pain is the result of direct stimulation of intact afferent nerve endings in the skin, muscles, bones or connective tissue. Visceral pain, on the other hand, results from stretching, distension or inflammation of internal organs. Neuropathic pain stems from injury or dysfunction of the nervous system itself, while referred pain is felt in a location other than the source of the stimulus.

Question 8

A nurse would use concepts related to management of chronic pain with which of the following clients?&#10;A) A 24-year-old woman in prolonged labor&#10;B) An 11-year-old child who had surgery for appendicitis&#10;C) A 58-year-old client with angina pectoris&#10;D) A 42-year-old client with metastatic cancer to the liver&#10;

Accepted Answer

Chronic pain management is commonly needed for clients with metastatic cancer, as the disease often causes ongoing pain. The other options either involve acute pain (prolonged labor, surgery) or a chronic condition not typically associated with chronic pain management (angina).

Question 9

The nurse is reviewing the medication lists for assigned clients.The nurse interprets that the client with which of the following disorders would best benefit from an order for a nonsteroidal antiinflammatory drug?

A) Severe pain
B) Bleeding disorder
C) Small gastrointestinal ulcer causing discomfort
D) Osteoarthritis

Accepted Answer

Nonsteroidal antiinflammatory drugs are commonly used for the treatment of osteoarthritis to reduce pain and inflammation. They may not be appropriate for clients with bleeding disorders or small gastrointestinal ulcers as they can exacerbate these conditions. Severe pain may require stronger medication than an NSAID.

Question 10

The nurse would assess a client who has been taking aspirin for osteoarthritis for which of the following primary adverse effects?&#10;A) Decreased appetite&#10;B) Gynecomastia&#10;C) Dysphagia&#10;D) Gastrointestinal bleeding&#10;

Accepted Answer

Aspirin is known to increase the risk of gastrointestinal bleeding, especially in individuals who take it for an extended period or in high doses. Therefore, the nurse should assess the client for signs of gastrointestinal bleeding, such as dark stools, abdominal pain, and vomiting blood. Aspirin use is not associated with decreased appetite, gynecomastia, or dysphagia.

Question 11

The nurse administering a dose of meclofenamate (Meclomen)to an assigned client determines this action to be safe if the client takes which of the following types of drugs that will not trigger an adverse interaction?

A) A penicillin antibiotic
B) A hydantoin antiepileptic drug
C) An antihypertensive
D) An anticoagulant

Accepted Answer

The answer of The nurse administering a dose of meclofenamate...

Question 12

A nurse who categorizes pain in which of the following ways would demonstrate the need for updated knowledge regarding pain theory?&#10;A) Visceral,somatic,or neuropathic&#10;B) Acute or chronic&#10;C) Nociceptive or deafferentation&#10;D) Long-term or short-term&#10;

Accepted Answer

The answer of A nurse who categorizes pain in which...

Question 13

The nurse reviewing analgesic orders for an assigned group of clients interprets that which of the following clients can most safely receive meperidine (Demerol)?&#10;A) A 72-year-old client who had prostate surgery&#10;B) A 24-year-old client who had her gallbladder removed&#10;C) A 45-year-old client with mild renal insufficiency&#10;D) A 58-year old client with rheumatoid arthritis&#10;

Accepted Answer

The answer of The nurse reviewing analgesic orders for an...

Question 14

The nurse is aware that meperidine (Demerol)would not be the recommended drug in the management of cancer pain because of which property?&#10;A) It is more interactive with kappa receptors.&#10;B) Its duration of action is shorter than that of morphine.&#10;C) It produces mood alterations and euphoria.&#10;D) It is not used in the management of any type of pain.&#10;

Accepted Answer

The answer of The nurse is aware that meperidine (Demerol)would...

Question 15

The nurse instructs the client that reporting which of the following adverse effects common to nonsteroidal antiinflammatory drugs is important?&#10;A) Visual disturbances&#10;B) Insomnia&#10;C) Chronic constipation&#10;D) Dysphagia&#10;

Accepted Answer

The answer of The nurse instructs the client that reporting...

Deck 14: Analgesics