Mastery EAQ Ch. 10

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

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

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

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

A  Excess urination, Hallucinations, Change in sputum color

B  Altered consciousness, Excess urination, Change in sputum color

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

D  Hallucinations, Slow pupil reaction, Altered consciousness

A  Placed on an area after cleaning it

B  Placed on the same place as the old patch

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

D  Placed on a hairy area

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

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

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

D  Administer the scheduled opioid dose early.

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

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

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

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

A  Call the respiratory team stat.

B  Assess arterial blood gases.

C  Administer naloxone.

D  Prepare for intubation.

A  Insomnia

B  Hyperactive bowel sounds

C  Diarrhea

D  Sedation

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

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

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

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

A  Cancer

B  Anorexia

C  Diarrhea

D  Asthma

A  Assess the patient’s neurologic status.

B  Reassess the patient in an hour.

C  Assess blood gases.

D  Administer a narcotic antagonist.

A  Hemoglobin 11.2 g/dL

B  Random blood glucose 140 mg/dL

C  Serum creatinine 0.8 mg/dL

D  Serum bilirubin 3.2 mg/dL

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

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

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

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

A  Naloxone

B  Methylprednisolone

C  Acetylcysteine

D  Protamine sulfate

A  Administer the scheduled opioid dose.

B  Withhold the scheduled opioid dose.

C  Inform the primary health care provider.

D  Administer an opioid antagonist.

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

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

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

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

A  Acetylcysteine

B  Naloxone

C  Naltrexone hydrochloride

D  Nalbuphine

A  In 8 hours

B  Within 2 hours

C  Within a half hour

D  In 4 hours

A  Pinpoint pupils

B  Heart rate 110 beats/min

C  Blood in urine

D  Respiratory rate 28 breaths/min

A  Administer flumazenil.

B  Prepare intravenous naloxone.

C  Initiate resuscitative measures.

D  Assess the patients’ responsiveness.

A  Cough reflex

B  Respiratory rate

C  Chemoreceptor trigger zone

D  Circulation

A  Vague feeling of anxiety

B  Respiratory rate 12 breaths/min

C  No bowel movement in 72 hours

D  Heart rate 90 beats/min

A  Assess the patient’s electrocardiogram (ECG).

B  Assess the patient for pain.

C  Administer an amphetamine.

D  Administer naltrexone hydrochloride.

A  Questions regarding the date of the last flu vaccine

B  Assessment of culture reports

C  Assessment of chronic diseases causing pain

D  Questions regarding past history of drug and alcohol use

A  Skin rashes, Blurred vision, Nausea

B  Skin rashes, Muscle stiffness, Blurred vision

C  Joint pain, Skin rashes, Blurred vision

D  Nausea, Joint pain, Muscle stiffness

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

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

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

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

A  Binds instead of the agonist and causes analgesia

B  Binds in place of the agonist and causes no response

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

D  Binds and causes less pain response than an agonist

A  100 mg

B  125 mg

C  150 mg

D  107 mg

A  Deep pain

B  Superficial pain

C  Somatic pain

D  Visceral pain

A  Diarrhea

B  Miosis

C  Constipation

D  Dizziness

A  “This medication will help your immune system.”

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

C  “This medication helps open up your airways.”

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

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

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

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

D  “Tell me more about your fears.”

A  Heart rate

B  Respiratory rate

C  Blood pressure

D  Mental status

A  Mucosal irritation

B  Electrolyte imbalance

C  Crystalluria

D  Constipation

A  Blurred vision, Vomiting, Decreased hearing

B  Nausea, Blurred vision, Decreased hearing

C  Nausea, Vomiting, Elevated liver enzymes

D  Blurred vision, Decreased hearing, Elevated liver enzymes

A  Administer naloxone.

B  Change the patch.

C  Call the primary health care provider.

D  Add a second patch.

A  1 mg

B  0.8 mg

C  0.5 mg

D  0.4 mg

A  Platelet count

B  Blood urea nitrogen (BUN) and creatinine levels

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

D  Neutrophil count

A  Anemia

B  Joint pain

C  Severe liver disease

D  Asthma

A  Visceral pain

B  Somatic pain

C  Superficial pain

D  Deep pain

A  Acute migraine

B  Pain after abdominal surgery

C  Lower back pain related to lumbar strain

D  Severe pain resulting from cancer metastasis

A  Codeine sulfate

B  Meperidine

C  Hydromorphone

D  Fentanyl

A  Sudden onset

B  Sharp

C  Sympathetic nervous system response

D  Persistent

A  Flumazenil

B  Methylprednisolone

C  Naloxone

D  Acetylcysteine

A  To diminish feelings of anxiety

B  To relieve acute and chronic pain

C  To induce a state of unconsciousness

D  To treat ischemic pain

A  Referred pain

B  Vascular pain

C  Phantom pain

D  Neuropathic pain