Chap 10 (exam 2)

Question 1

Any drug that binds to a receptor and causes a response has ______ properties

Answer 1

Agonist

Question 2

Mrs. M had breast reduction surgery yesterday and is complaining of pain around her incisions. Mrs. M is experiencing ____ pain.

Answer 2

Acute

Question 3

Mrs. G is experiencing pain and itching due to a severe case of poison ivy on the skin of her arms and legs. She is experiencing ____ pain.

Answer 3

Superficial

Question 4

Mr. E paces the floor all night, holding his side. The pain is so severe that he is nauseated. His wife brings him to the emergency department, where it is quickly discovered that Mr. E has a kidney stone. The type of pain he has been experiencing is ____ pain.

Answer 4

Visceral

Question 5

Mr. D’s drug binds to a receptor, but the drug prevents, or blocks, a response. He is taking a drug with ___ properties.

Answer 5

Antagonist

Question 6

When a second drug is given with a primary analgesic to enhance the analgesic effect, the second drug is being used as an ____ drug

Answer 6

Adjuvant

Question 7

Mr. P is receiving an opioid around the clock for late-stage cancer pain. Lately, he has found that the pain medication is not working as well as it did a week ago. This is an example of opioid _____.

Answer 7

Tolerance

Question 8

The level of stimulus needed to produce a painful sensation is referred to as the pain ______.

Answer 8

Threshold

Question 9

Mr. J twisted his ankle in a friendly basketball game with his peers after work. His wife brings him to the urgent care center several hours later because of the pain. Mr. J is probably experiencing ____ pain.

Answer 9

Somatic

Question 10

Mrs. H has experienced back pain “for years”. She says that it is worse in the late afternoon and at night but that “really, even when it lessens somewhat, it is there all the time in some form.” Mrs. H is experiencing ___ pain.

Answer 10

Chronic

Question 11

Mr. R is brought to the emergency department in severe pain. The emergency department team recognizes the need to immediately bring the pain under some control. After assessing that it is not contraindicated, the attending physician initiates administration of a very strong pain reliever. This is no doubt a(n) ___ analgesic.

Answer 11

Opioid

Question 12

This word is often used interchangeably with the term opioid.

Answer 12

Opiate

Question 13

Ms. T is taking a drug that binds to part of a receptor and causes effects that are not as strong as those of a pure agonist. She is taking a(n) ______ agonist.

Answer 13

Partial

Question 14

During a marathon, a runner had to drop out after 16 miles because of severe muscle spasms. Which type of pain is the runner experiencing?
Chronic pain
Somatic pain
Visceral pain
Superficial pain

Answer 14

Somatic Pain

Question 15

A young man has been taken to the emergency department because of a suspected overdose of morphine tablets. The nurse prepares to administer which drug?
Atropine
Meperedine (Demerol)
Flumazenil (romazicon)
Noloxone (Narcan)

Answer 15

Naloxone (Narcan)

Question 16

An anticonvulsant drug has been ordered as part of a patient's pain management program. The nurse explains to the patient that the purpose of the anticonvulsant is to:
Produce sleep
Prevent seizures
Relieve neuropathic pain
Reduce anxiety

Answer 16

Relieve neuropathic pain

Question 17

Moderate to severe pain is best treated with which of these medications?
Acetaminophen (tylenol)
Naloxone (Narcan)
Alprazolam (Xanax)
Fentanyl (Duragesic)

Answer 17

Fentanyl (Duragesic)

Question 18

The nurse is preparing to administer an opioid analgesic. Which factors should be assessed before the dose is given? Select all that apply:
Blood clotting times
The level of pain rated on a scale
Prior analgesic use (time, type, amount, effectiveness)
Dietary history
Allergies

Answer 18

The level of pain rated on a scale
Prior analgesic use
Allergies

Question 19

Acute Pain

Answer 19

Pain that is sudden and usually subsides when treated

Question 20

Chronic Pain

Answer 20

Persistent or recurring pain that is often difficult to treat

Question 21

Somatic Pain

Answer 21

Pain that originates from the skeletal muscles, ligaments, or joints

Question 22

Visceral Pain

Answer 22

Pain that originates form the organs or smooth muscles

Question 23

Superficial Pain

Answer 23

Pain that originates from the skin or mucous membranes

Question 24

Vascular Pain

Answer 24

Pain that is thought to account for most migraine headaches

Question 25

Neuropathic Pain

Answer 25

Pain that results form injury or damage to the peripheral nerve fibers

Question 26

Phantom Pain

Answer 26

Pain that relates to a body part that has been removed

Question 27

Central Pain

Answer 27

Pain that occurs with tumors, trauma, or inflammation of the brain