Question 1

The nurse has provided education for a client prescribed opioid treatment. Which statement made by the client indicates an understanding of the education?

Accepted Answer

A)   "I will make sure I take stool softeners."
B)   "I will use a laxative if I need to."
C)   "I will increase my fluid intake."
D)   "I will increase my physical activity."

Question 2

Which statement made by a client prescribed acetylsalicylic acid (aspirin)  indicates the client is experiencing an adverse reaction?

Accepted Answer

A)   "My stools have been dark in color."
B)   "My nose is stuffed up."
C)   "Bright lights give me a headache."
D)   "I have to get up a lot at night to urinate." A

Question 3

Which selective serotonin reuptake inhibitors (SSRIs)  are prescribed as adjuvant analgesics? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A)   Desipramine (Norpramin) 
B)   Fluvoxamine (Luvox) 
C)   Imipramine (Tofranil) 
D)   Sertraline (Zoloft) 
E)   Fluoxetine (Prozac)

Question 4

Which question should the nurse ask a postsurgical client prior to the administration of an opioid analgesic?

Accepted Answer

A)   "Have you ever been addicted to prescription pain medications?"
B)   "Do you understand how this pain prescription works?"
C)   "Would you like me to help you change your position for comfort?"
D)   "Would you please rate your pain on a scale of 1 to 10?"

Question 5

The nurse has provided client education about the use of nonpharmacological techniques for pain management. Which statements indicate the client understands the information? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A)   "Nonpharmacological techniques are a good adjunct to pharmacotherapy."
B)   "Nonpharmacological techniques have not reached mainstream yet."
C)   "Nonpharmacological techniques may be used in place of drugs."
D)   "Nonpharmacological techniques include an aerobic exercise."
E)   "Nonpharmacological techniques are not usually valued by nurses."

Question 6

Which information should the nurse include in the education for a client prescribed sumatriptan (Imitrex) ? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A)   Do not drive until the effects of the medication are known.
B)   Avoid pseudoephedrine (Sudafed)  while taking the prescription.
C)   Take the prescription with a meal high in protein.
D)   Take the prescription with food.
E)   Increase fluid intake.

Question 7

Which statement should the educator use to describe to the nurse the neural mechanism responsible for signaling sharp pain?

Accepted Answer

A)   "Once the pain impulse reaches the spinal cord, the neurotransmitters speed up the signal for sharp pain."
B)   "Alpha fibers are wrapped in myelin that speeds up the signal resulting in the sensation of sharp pain."
C)   "Both the alpha and beta fibers in the spinal cord work together to signal sharp pain."
D)   "Unmyelinated fibers carry the pain signal faster resulting in the feeling of sharp pain."

Question 8

A client with terminal cancer has a respiratory rate of 10 and requests a dose of prescribed morphine. Which action should the nurse take?

Accepted Answer

A)   Hold the dose until the respirations are above 12) 
B)   Administer the dose of morphine.
C)   Implement nonpharmacological interventions.
D)   Administer the prescribed NSAID.

Question 9

A parent asks the nurse why his or her 8-year-old child cannot have cough syrup with codeine to help the child rest. Prior to responding to the parent, which should the nurse understand?

Accepted Answer

A)   The child can become addicted to the cough syrup.
B)   Codeine is contraindicated in children.
C)   Children are more likely to have an allergic reaction to the codeine.
D)   Codeine will exacerbate the child's condition.

Question 10

The educator has discussed with a nurse the protocol for the immediate availability of naloxone for a client with a patient-controlled analgesia PCA pump. Which statement made by the nurse indicates an understanding of the information?

Accepted Answer

A)   "Naloxone (Narcan)  enhances the effect of the opioid in the patient-controlled analgesia (PC
A)   pump and increases analgesia."
B)   "Naloxone (Narcan)  is the antidote if an anaphylactic reaction to the opioid in the patient-controlled analgesia (PC
A)   pump occurs."
C)   "Naloxone (Narcan)  is available to treat any systemic side effects, like constipation, of the opioid in the patient-controlled analgesia (PC
A)   pump."
D)   "Naloxone (Narcan)  will reverse the effects of the narcotic in the patient-controlled analgesia (PC
A)   pump if an overdose occurs."

Question 11

The educator is discussing pain transmission with the nurse. Which statement made by the nurse indicates an understanding of the process?

Accepted Answer

A)   "The transmission process begins with the activation of substance P."
B)   "The transmission process begins with the A and C fibers."
C)   "The transmission process begins with the nociceptors."
D)   "The transmission process begins with the sensory neurons in the spinal cord." C

Question 12

A client that experienced head trauma asks the nurse why they cannot have an opioid analgesic. Which response should the nurse provide?

Accepted Answer

A)   "The use of an opioid analgesic can significantly decrease blood pressure."
B)   "You may not be able to notice any changes you are experiencing."
C)   "Opioids are not effective for the management of pain associated with head trauma."
D)   "Opioids can mask changes in the level of consciousness." D

Question 13

Which instruction should the nurse include for a client prescribed acetaminophen (Tylenol) ?

Accepted Answer

A)   "Check your gums for bleeding when taking acetaminophen (Tylenol) ."
B)   "Do not take any narcotics with acetaminophen (Tylenol) ."
C)   "You may experience diarrhea while taking acetaminophen (Tylenol) ."
D)   "Acetaminophen (Tylenol)  can cause your mouth to become dry."

Question 14

A postoperative client has a prescription for morphine 2 mg IV push every 2 hours and hydrocodone 5 mg every 6 hours. The client received the morphine 2 hours ago and is requesting hydrocodone. Which initial action should the nurse take?

Accepted Answer

A)   Administer another dose of morphine.
B)   Administer 5 mg of hydrocodone.
C)   Encourage the use of distraction techniques.
D)   Using a pain scale assess the patient's level of pain.

Question 15

The nurse is preparing to review the records of a client with cancer prescribed buccal fentanyl. Which findings should the nurse anticipate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A)   The client is already prescribed fentanyl.
B)   The client is opioid naïve.
C)   The client is experiencing breakthrough pain.
D)   The client has a history of migraine headaches.
E)   The client is being weaned off of intravenous fentanyl.

Question 16

A nurse is preparing to provide education on the use of heroin. Which information should the nurse include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A)   Heroin is an opioid drug.
B)   Heroin is a narcotic drug.
C)   Heroin causes CNS agitation.
D)   Heroin is the same drug as morphine.
E)   Heroin is not as dangerous as oxycodone.

Question 17

A client tells the nurse he or she has a dull, aching pain in his or her lower back. Which type of pain should the nurse recognize the client is experiencing?

Accepted Answer

A)   Acute
B)   Somatic
C)   Neuropathic
D)   Visceral

Question 18

The nurse has administered naloxone (Narcan)  intravenously to a client receiving morphine experiencing respiratory depression. Which should the nurse anticipate?

Accepted Answer

A)   A peak effect of 10 to 20 minutes
B)   An onset of action of 1 to 2 minutes
C)   An onset of action of 2 to 5 minutes
D)   A peak effect of 5 to 10 minutes

Question 19

A client asks the nurse how methadone (Dolophine)  can help with a heroin dependence. Which response should the nurse provide?

Accepted Answer

A)   "Methadone (Dolophine)  will cause illness if heroin is used."
B)   "Methadone (Dolophine)  does not cause euphoria like heroin does."
C)   "Methadone (Dolophine)  can cure an addiction to heroin."
D)   "Methadone (Dolophine)  causes an allergic reaction to heroin."

Question 20

For which client is acetaminophen (Tylenol)  contraindicated?

Accepted Answer

A)   A 2-year-old with a high fever
B)   A 65-year-old with osteoarthritis
C)   A 19-year-old with a bladder infection
D)   A 55-year old who drinks alcohol

Exam 18: Drugs for the Control of Pain

The nurse has provided education for a client prescribed opioid treatment. Which statement made by the client indicates an understanding of the education?

Correct AnswerverifiedShow Answer

Which statement made by a client prescribed acetylsalicylic acid (aspirin) indicates the client is experiencing an adverse reaction?

Correct AnswerverifiedA

Which selective serotonin reuptake inhibitors (SSRIs) are prescribed as adjuvant analgesics? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Correct AnswerverifiedShow Answer

Which question should the nurse ask a postsurgical client prior to the administration of an opioid analgesic?

Correct AnswerverifiedShow Answer

The nurse has provided client education about the use of nonpharmacological techniques for pain management. Which statements indicate the client understands the information? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Correct AnswerverifiedShow Answer

Which information should the nurse include in the education for a client prescribed sumatriptan (Imitrex) ? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Correct AnswerverifiedShow Answer

Which statement should the educator use to describe to the nurse the neural mechanism responsible for signaling sharp pain?

Correct AnswerverifiedShow Answer

A client with terminal cancer has a respiratory rate of 10 and requests a dose of prescribed morphine. Which action should the nurse take?

Correct AnswerverifiedShow Answer

A parent asks the nurse why his or her 8-year-old child cannot have cough syrup with codeine to help the child rest. Prior to responding to the parent, which should the nurse understand?

Correct AnswerverifiedShow Answer

The educator has discussed with a nurse the protocol for the immediate availability of naloxone for a client with a patient-controlled analgesia PCA pump. Which statement made by the nurse indicates an understanding of the information?

Correct AnswerverifiedShow Answer

The educator is discussing pain transmission with the nurse. Which statement made by the nurse indicates an understanding of the process?

Correct AnswerverifiedC

A client that experienced head trauma asks the nurse why they cannot have an opioid analgesic. Which response should the nurse provide?

Correct AnswerverifiedD

Which instruction should the nurse include for a client prescribed acetaminophen (Tylenol) ?

Correct AnswerverifiedShow Answer

A postoperative client has a prescription for morphine 2 mg IV push every 2 hours and hydrocodone 5 mg every 6 hours. The client received the morphine 2 hours ago and is requesting hydrocodone. Which initial action should the nurse take?

Correct AnswerverifiedShow Answer

The nurse is preparing to review the records of a client with cancer prescribed buccal fentanyl. Which findings should the nurse anticipate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Correct AnswerverifiedShow Answer

A nurse is preparing to provide education on the use of heroin. Which information should the nurse include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Correct AnswerverifiedShow Answer

A client tells the nurse he or she has a dull, aching pain in his or her lower back. Which type of pain should the nurse recognize the client is experiencing?

Correct AnswerverifiedShow Answer

The nurse has administered naloxone (Narcan) intravenously to a client receiving morphine experiencing respiratory depression. Which should the nurse anticipate?

Correct AnswerverifiedShow Answer

A client asks the nurse how methadone (Dolophine) can help with a heroin dependence. Which response should the nurse provide?

Correct AnswerverifiedShow Answer

For which client is acetaminophen (Tylenol) contraindicated?

Correct AnswerverifiedShow Answer

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