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?

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?

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?

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?

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?

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?

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?

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?

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?

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?

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?

Accepted Answer

Meclofenamate does not have any known interactions with penicillin antibiotics. It can interact with hydantoin antiepileptic drugs, antihypertensives, and anticoagulants, potentially causing adverse effects or decreasing the effectiveness of one or both drugs. Therefore, it is important to assess for potential drug interactions before administering meclofenamate.

Question 12

A nurse who categorizes pain in which of the following ways would demonstrate the need for updated knowledge regarding pain theory?

Accepted Answer

Long-term or short-term is not an accurate way to categorize pain and does not reflect current knowledge regarding pain theory. Pain is a complex and multifactorial experience that cannot be simply categorized as long-term or short-term.

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)?

Accepted Answer

Meperidine is contraindicated in older adults and clients with renal impairment because of the risk of toxicity and accumulation of metabolites. It is a suitable choice for a 24-year-old client who had her gallbladder removed.

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?

Accepted Answer

Meperidine (Demerol) has a shorter duration of action than morphine, making it less effective in managing cancer pain. A longer-acting opioid with better pain control is typically preferred in this situation. Additionally, meperidine is more likely to cause central nervous system toxicity, such as seizures, than other opioids.

Question 15

The nurse instructs the client that reporting which of the following adverse effects common to nonsteroidal antiinflammatory drugs is important?

Accepted Answer

Visual disturbances can be a serious adverse effect of nonsteroidal anti-inflammatory drugs (NSAIDs) and should be reported to a healthcare provider.

Quiz 14: Analgesics

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?

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?

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?

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?

Which of the following findings by a nurse assessing a client with severe aspirin overdose would be unexpected?

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?

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?

A nurse would use concepts related to management of chronic pain with which of the following clients?

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?

The nurse would assess a client who has been taking aspirin for osteoarthritis for which of the following primary adverse effects?

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 nurse who categorizes pain in which of the following ways would demonstrate the need for updated knowledge regarding pain theory?

The nurse reviewing analgesic orders for an assigned group of clients interprets that which of the following clients can most safely receive meperidine (Demerol) ?

The nurse is aware that meperidine (Demerol) would not be the recommended drug in the management of cancer pain because of which property?

The nurse instructs the client that reporting which of the following adverse effects common to nonsteroidal antiinflammatory drugs is important?