Mastery EAQ Ch. 10

A  Patients should request analgesics when the pain level reaches a 3 on a scale of 1 to 10.

B  Narcotic analgesics should not be used for more than 24 hours.

C  Analgesics should be administered as needed to minimize adverse effects.

D  Pain relief is best obtained by administering analgesics around the clock.

A  Altered consciousness, Excess urination, Change in sputum color

B  Slow pupil reaction, Excess urination, Change in sputum color

C  Excess urination, Hallucinations, Change in sputum color

D  Hallucinations, Slow pupil reaction, Altered consciousness

A  Placed on a hairy area

B  Placed on a new area, with the old patch still in place

C  Placed on the same place as the old patch

D  Placed on an area after cleaning it

A  Distract the patient for 2 hours by using alternative methods, such as music therapy.

B  Administer a short-acting opioid and follow the regular opioid schedule for the next dose.

C  Administer the scheduled opioid dose early.

D  Ask the patient to bear the pain until the next scheduled opioid dose.

A  “Drink at least 3 liters of fluid a day.”
“Take an over-the-counter stool softener daily.”

B  “Rest before taking the medication.”
“Take acetaminophen with the morphine.”

C  “Increase the dose of morphine if there is no relief of pain.”
“Rest before taking the medication.”

D  “Increase the dose of morphine if there is no relief of pain.”
“Take acetaminophen with the morphine.”

A  Administer naloxone.

B  Assess arterial blood gases.

C  Prepare for intubation.

D  Call the respiratory team stat.

A  Hyperactive bowel sounds

B  Sedation

C  Insomnia

D  Diarrhea

A  “Do not crush the medication.”
“Swallow the medication whole.”
“Do not dissolve the medication in water.”

B  “Take the medication frequently.”
“Increase the dose if you experience no pain relief.”
“Do not crush the medication.”

C  “Take the medication frequently.”
“Swallow the medication whole.”
“Increase the dose if you experience no pain relief.”

D  “Do not dissolve the medication in water.”
“Take the medication frequently.”
“Increase the dose if you experience no pain relief.”

A  Anorexia

B  Cancer

C  Diarrhea

D  Asthma

A  Assess blood gases.

B  Reassess the patient in an hour.

C  Administer a narcotic antagonist.

D  Assess the patient’s neurologic status.

A  Serum bilirubin 3.2 mg/dL

B  Random blood glucose 140 mg/dL

C  Serum creatinine 0.8 mg/dL

D  Hemoglobin 11.2 g/dL

A  Hold the drug, record the assessment, and reassess the patient in 1 hour.

B  Consult the primary health care provider and obtain another drug prescription.

C  Administer another 1 mg of morphine and reevaluate the pain scale in 15 minutes.

D  Administer 1 mg of morphine and notify the primary health care provider.

A  Protamine sulfate

B  Methylprednisolone

C  Acetylcysteine

D  Naloxone

A  Withhold the scheduled opioid dose.

B  Inform the primary health care provider.

C  Administer the scheduled opioid dose.

D  Administer an opioid antagonist.

A  “Tell me more about your understanding of how epidural analgesia relieves your pain.”

B  “If you don’t turn, cough, and breathe deeply, you may get pneumonia or other complications.”

C  “I can understand your fears, but there is no risk of paralysis from epidural analgesia.”

D  “There’s no needle. It’s a thin plastic tube in the protective covering of your spinal cord.”

A  Naloxone

B  Acetylcysteine

C  Naltrexone hydrochloride

D  Nalbuphine

A  In 4 hours

B  In 8 hours

C  Within a half hour

D  Within 2 hours

A  Respiratory rate 28 breaths/min

B  Pinpoint pupils

C  Heart rate 110 beats/min

D  Blood in urine

A  Prepare intravenous naloxone.

B  Assess the patients’ responsiveness.

C  Administer flumazenil.

D  Initiate resuscitative measures.

A  Cough reflex

B  Respiratory rate

C  Chemoreceptor trigger zone

D  Circulation

A  Heart rate 90 beats/min

B  No bowel movement in 72 hours

C  Respiratory rate 12 breaths/min

D  Vague feeling of anxiety

A  Administer naltrexone hydrochloride.

B  Assess the patient’s electrocardiogram (ECG).

C  Administer an amphetamine.

D  Assess the patient for pain.

A  Questions regarding past history of drug and alcohol use

B  Questions regarding the date of the last flu vaccine

C  Assessment of culture reports

D  Assessment of chronic diseases causing pain

A  Nausea, Joint pain, Muscle stiffness

B  Skin rashes, Muscle stiffness, Blurred vision

C  Joint pain, Skin rashes, Blurred vision

D  Skin rashes, Blurred vision, Nausea

A  “Dispose of patches by melting them with a flame.”

B  “Keep new and used patches away from children.”

C  “Apply heat over the patch to increase absorption.”

D  “Store the patches in the bathroom medicine cabinet.”

A  Binds in place of the agonist and causes no response

B  Binds instead of the agonist and causes analgesia

C  Binds and causes a response opposite to that of an agonist

D  Binds and causes less pain response than an agonist

A  107 mg

B  100 mg

C  150 mg

D  125 mg

A  Visceral pain

B  Deep pain

C  Superficial pain

D  Somatic pain

A  Diarrhea

B  Constipation

C  Miosis

D  Dizziness

A  “This medication is used as a cough suppressant.”

B  “This medication will help you get rid of mucous.”

C  “This medication will help your immune system.”

D  “This medication helps open up your airways.”

A  “Everything will be fine. You will be back to work in about 6 weeks.”

B  “Tell me more about your fears.”

C  “The disability benefit of your insurance plan will help pay your bills.”

D  “Your pain is well controlled now. Why are you so worried?”

A  Mental status

B  Respiratory rate

C  Blood pressure

D  Heart rate

A  Constipation

B  Crystalluria

C  Electrolyte imbalance

D  Mucosal irritation

A  Blurred vision, Decreased hearing, Elevated liver enzymes

B  Nausea, Blurred vision, Decreased hearing

C  Blurred vision, Vomiting, Decreased hearing

D  Nausea, Vomiting, Elevated liver enzymes

A  Change the patch.

B  Administer naloxone.

C  Call the primary health care provider.

D  Add a second patch.

A  0.5 mg

B  0.4 mg

C  0.8 mg

D  1 mg

A  Aspartate transaminase (AST) and alanine transaminase (ALT) levels

B  Blood urea nitrogen (BUN) and creatinine levels

C  Neutrophil count

D  Platelet count

A  Severe liver disease

B  Anemia

C  Joint pain

D  Asthma

A  Superficial pain

B  Deep pain

C  Visceral pain

D  Somatic pain

A  Pain after abdominal surgery

B  Acute migraine

C  Severe pain resulting from cancer metastasis

D  Lower back pain related to lumbar strain

A  Codeine sulfate

B  Fentanyl

C  Hydromorphone

D  Meperidine

A  Sudden onset

B  Sympathetic nervous system response

C  Persistent

D  Sharp

A  Acetylcysteine

B  Naloxone

C  Flumazenil

D  Methylprednisolone

A  To induce a state of unconsciousness

B  To treat ischemic pain

C  To relieve acute and chronic pain

D  To diminish feelings of anxiety

A  Phantom pain

B  Referred pain

C  Neuropathic pain

D  Vascular pain