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NURS2206 > CBL Quiz Week 11 > Flashcards

CBL Quiz Week 11 Flashcards

1
Q

T/F: respiratory depression rarely occurs in patients who have been receiving stable doses of opioids over a period of months.

A

T

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2
Q

Robert is 25 years old and this is his first day following abdominal surgery. As you enter his room, he is lying quietly in bed and grimaces as he turns in bed. Your assessment shows: BP 120/80; HR 80; Resps 18; Robert reports pain score as “8” on a scale of 0 to 10 (0 = no pain/discomfort, 10 = worst pain/discomfort).

You are the registered nurse and it is 2 hours since he received morphine 2 mg IV. Andrew has had no clinically significant respiratory depression, sedation, or other untoward side effects. The medication order for analgesia is “morphine IV 1-3 mg q1h PRN pain relief.” What action you will take at this time.

A

administer 3mg of morphine now

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3
Q

T/F: giving pt sterile water injection (placebo) is a useful test to determine if the pain is real

A

F

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4
Q

The time to peak effect for morphine given orally is

A

1-2hours

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5
Q

T/F: Combining analgesics that work by different mechanisms (e.g., combining an NSAID with an opioid) may result in better pain control with fewer side effects than using a single analgesic agent

A

T

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6
Q

Who/what is the most accurate judge of the intesity of the pt’s pain?

A

the pt

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7
Q

T/F: If the source of the patient’s pain is unknown, opioids should not be used during the pain evaluation period, as this could mask the ability to correctly diagnose the cause of pain.

A

F

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8
Q

T/F: Narcotic/opioid addiction is defined as a chronic neurobiologic disease, characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, continued use despite harm, and craving.

A

T

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9
Q

What is the recommended route of administration of opioid analgesics for patients with persistent cancer-related pain?

A

PO

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10
Q

The most likely reason a patient with pain would request increased doses of pain medication is

A

They are experiencing an increase in pain

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11
Q

What is the recommended route of administration of opioid analgesics for patients with brief, severe pain of sudden onset, such as trauma or postoperative pain?

A

IV

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12
Q

T/F: pt may sleep in spite of severe pain

A

T

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13
Q

What is the time to peak effect of IV morphine?

A

15 minutes

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14
Q

T/F: opioids should not be used in pt with hx of substance abuse

A

F

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15
Q

Andrew is 25 years old and this is his first day following abdominal surgery. As you enter his room, he smiles at you and continues talking and joking with his visitor.
Your assessment shows: BP 120/80; HR 80; Resps 18; Andrew reports pain score as “8” on a scale of 0 to 10 (0 = no pain/discomfort, 10 = worst pain/discomfort).

You are the registered nurse and it is 2 hours since he received morphine 2 mg IV. Andrew has had no clinically significant respiratory depression, sedation, or other untoward side effects. The medication order for analgesia is “morphine IV 1-3 mg q1h PRN pain relief.” What action you will take at this time.

A

3mg morphine now

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16
Q

How should analgesics for post op pain be given:
a.
around the clock on a fixed schedule

b. only if non-pharmacological pain relief measures fail

c. only when the patient asks for the medication

d. only when the nurse determines that the patient has moderate or greater discomfort
A

a

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17
Q

T/F: Vital signs are always reliable indicators of the intensity of a patient’s pain.

A

F

18
Q

Which of the following analgesic medications is considered the drug of choice for the treatment of prolonged moderate to severe pain for cancer patients?
a.
morphine

b. tramadol

c. codeine

d. pethidine
A

morphine

19
Q

How likely is it that patients who develop pain already have an alcohol and/or drug abuse problem?

A

5-15%

20
Q

T/F: Oral morphine in sustained release (SR) forms or modified release (MR) forms can be crushed for administration to patients who don’t like swallowing tablets

A

F

21
Q

T/F: Anticonvulsant drugs such as Pregabalin (eg Lyrica) produce optimal pain relief after a single dose.

A

F

22
Q

The pain management nurse notices a male patient grimacing as he moves from the bed to a chair. The patient tells the nurse that he is not experiencing any pain. The nurse’s response is to:
a.
supporting the patient’s stoic behavior.

b. clarify the patient's report by reviewing the patient's nonverbal behavior.

c. obtaining an order for pain medication

d. confronting the patient's denial of pain.
A

b

23
Q

T/F: Children under 11 years of age cannot reliably report pain, so clinicians should rely solely on the parent’s assessment of the child’s pain intensity.

A

F

24
Q

Which of the following describes the best approach for cultural considerations in caring for patients in pain:
a.
Cultural influences can be determined by an individual’s ethnicity (e.g., Asians are stoic, Italians are expressive, etc).

b. Cultural influences can be determined by an individual’s socioeconomic status (e.g., blue collar workers report more pain than white collar workers).

c. There are no longer cultural influences in Australia due to the diversity of the population.

d. Patients should be individually assessed to determine cultural influences.
A

d

25
Q

T/F: Patients who can be distracted from pain usually do not have severe pain.

A

F

26
Q

T/F: Aspirin and other nonsteroidal anti-inflammatory agents are effective analgesics for painful bone metastases.

A

F

27
Q

T/F:Benzodiazepines are not effective pain relievers unless the pain is due to muscle spasm.

A

T

28
Q

T/F: Research shows that promethazine (Phenergan)is a reliable potentiator of opioid analgesics.

A

F

29
Q

T/F: elderly pt’s cannot tolerate opioids for pain relief

A

F

30
Q

Which statement indicates the development of opioid tolerance?
a.
The patient no longer experiences constipation from the usual dose of opioid.

b. The patient becomes anxious about knowing the exact time of the next dose of opioid

c. Larger doses of opioids are needed to control pain, as compared to several weeks earlier.

d. Stimulants are needed to counteract the sedating effects of opioids.
A

c

31
Q

Andrew is 25 years old and this is his first day following abdominal surgery. As you enter his room, he smiles at you and continues talking and joking with his visitor.

Your assessment shows: BP 120/80; HR 80; Resps 18; Andrew reports pain score as “8” on a scale of 0 to 10 (0 = no pain/discomfort, 10 = worst pain/discomfort).

Based on this assessment, what pain score will you document on his Q-ADDS chart?

A

8

32
Q

Following abrupt discontinuation of an opioid, physical dependence is manifested by the following:
a.
Impaired control over drug use, compulsive use, and craving

b. both a) and b)

c. sweating, yawning, diarrhea and agitation

d. The need for higher doses to achieve the same effect.
A

c

33
Q

T/F: Because their nervous system is underdeveloped, children under two years of age have decreased pain sensitivity and limited memory of painful experiences.

A

F

34
Q

An 85-year-old, male patient with a history of prostate cancer and metastasis to the lumbar spine, is receiving methadone (Dolophine), 10 mg, three times a day. The patient’s spouse tells the pain management nurse that the patient exhibits a lack of motivation, loss of appetite, and an inability to get out of bed. The nurse initially focuses on:

a. need for antidepressants.

b. the patient’s pain assessment.

c. mobility and exercise evaluation

d. psychological evaluation.

A

b

35
Q

T/F: Patient’s spiritual beliefs may lead them to think pain and suffering are necessary.

A

T

36
Q

T/F: The usual duration of analgesia of 1-2 mg morphine IV is 4-5 hours.

A

F

37
Q

T/F: Sedation assessment is recommended during opioid pain management because excessive sedation precedes opioid-induced respiratory depression.

A

T

38
Q

T/F: Patients should be encouraged to endure as much pain as possible before using an opioid.

A

F

39
Q

Robert is 25 years old and this is his first day following abdominal surgery. As you enter his room, he is lying quietly in bed and grimaces as he turns in bed. Your assessment shows: BP 120/80; HR 80; Resps 18; Robert reports pain score as “8” on a scale of 0 to 10 (0 = no pain/discomfort, 10 = worst pain/discomfort).

Based on this assessment, what pain score will you document on his Q-ADDS chart?

A

8

40
Q

T/F:
After an initial dose of opioid analgesic is given, subsequent doses should be adjusted in accordance with the individual patient’s response.

A

T

NURS2206 (6 decks)

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