Chapter 10-Analgesic & Antipyretic

Question 1

When caring for hospitalized clients, minimizing pain medication for clients may increase or decrease hospital stays

Answer 1

may lead to longer hospital stays.

Question 2

Opioid drugs are NOT used for treating:

Answer 2

constipation

Question 3

Which would be used for the treatment of an overdose of meperidine (Demerol)?

Answer 3

naloxone

This is an opioid antagonist used to reverse the depressive action of opioids.

Question 4

A client is receiving fentanyl IV for postoperative pain. with this opioid the client should be monitored for:

Answer 4

respiratory depression

Question 5

The client who has just returned from the operating room following an exploratory laparotomy is likely to experience effective pain relief from:

Answer 5

IV morphine

Question 6

The nurse is caring for the following postoperative clients. Which clients would be monitored as a high risk for respiratory depression after receiving intravenous fentanyl for pain control?

Answer 6

the client with asthma

Question 7

The nurse is caring for a client receiving fentanyl epidural analgesia and understands to include which of the following in her plan of care?

Answer 7

ensuring that naloxone is available

Question 8

clients receiving intravenous infusions of morphine sulfate: which adverse effect would be monitored

Answer 8

would be monitored for pruritus as a possible adverse effect of the medication.

Question 9

A client is admitted to the hospital after consuming 5 grams of aspirin. The nurse should monitor the client for:

Answer 9

respiratory stimulation

Question 10

The nurse understands that when teaching clients about acetaminophen which of the following should be included?

Answer 10

“Take only as directed. Too much Tylenol can harm your liver.”

Question 11

The nurse understands that the most frequent problem in implementing prn pain medication prescriptions is:

Answer 11

withholding analgesics needed by the client.

Question 12

The nurse is caring for a client taking an anticoagulant. Discharge teaching for this client should include:

Answer 12

“You should not take aspirin, unless specifically prescribed for you.”

Question 13

A child is admitted to the pediatric intensive care unit with acetaminophen overdosage. The nurse should assess for what manifestations during the first 24 hours after ingestion?

Answer 13

nausea, vomiting, and malaise

Question 14

Which of the following is NOT a common adverse effect associated with opioid therapy?

Answer 14

severe allergic reactions

Question 15

The nurse understands that the first-line drug for the relief of ischemic chest pain associated with an acute myocardial infarction is:

Answer 15

morphine sulfate
Morphine is a potent analgesic, but it also increases vascular capacity and decreases vascular resistance, as well as increases the ease of breathing through bronchodilation.

Question 16

Children who experience fever associated with viral infections of the upper respiratory tract or chicken pox should NOT be treated with products containing:

Answer 16

aspirin. Although the exact mechanism is not understood, the use of aspirin in children with viral infections is associated with an increased incidence of Reye’s syndrome.

Question 17

For the client with severe acetaminophen toxicity, the nurse should be prepared to administer:

Answer 17

N-acetylcysteine (Mucomyst).

Question 18

Ergotamine tartrate (Ergostat) is a drug that is employed in the treatment of:

Answer 18

migraine Because it can be administered by inhalation, it has a rapid onset of action for the treatment of migraine headaches

Question 19

Which of the following adverse effects should the nurse be assessing in a client receiving sumatriptan succinate (Imitrex)?

Answer 19

hypertension and angina

Question 20

If a client complains of GI upset with the use of regular aspirin tablets, which of the following would be appropriate advice to give?

Answer 20

Taking the aspirin with food or after meals

Question 21

PCA is a technique for effective pain management because it involves:

Answer 21

allowing the client to exercise control over analgesia administration.

Question 22

A client suffers from migraine headaches. The nurse instructing the client on the appropriate use of sumatriptan succinate (Imitrex) knows that the client understands the instructions when she replies:

Answer 22

“I do not take Imitrex until I notice the first sign of a migraine.”

It should be administered at the first sign of a migraine headache. It is used to treat, not prevent, migraine headaches.

Question 23

A client has just returned from back surgery. He has an epidural catheter in place for postoperative pain control. The nurse knows that which of the following is TRUE about an epidural catheter?

Answer 23

All opioid analgesics used for epidural administration must be preservative free.

Question 24

A client is 2 days’ postoperative from a right lower lobectomy and has been receiving morphine sulfate 2 mg intravenously q4h prn for postoperative pain. It has been 2 hours since his last dose, and he is now requesting pain medication. When the nurse enters the client’s room to administer the morphine, the client states his pain level is 8/10. What is the best action by the nurse?

Answer 24

Collaborate with the health care provider to decrease the dosing interval.

Question 25

The postoperative client’s prn medication is ordered q4h prn pain, and 2 hours have passed since a pain medication has been administered. The client rates her pain level as 6/10. The nurse’s first action should be to:

Answer 25

assess the client’s position for alignment and comfort.

Question 26

The family of a terminally ill client asks the nurse about hospice. The nurse’s best response would be:

Answer 26

“Hospice provides end-of-life care with a focus on pain management and client dignity.”

Question 27

The nurse has medicated a 3-day postoperative client with oxycodone. After documenting the medication administration, the nurse should plan to:

Answer 27

reassess the client in 45 minutes.

Question 28

Prior to initiating PCA for a postoperative client, the nurse should do which of the following?

Answer 28

1) Teach the client and family about PCA.
2) the client’s ability to use the PCA dosing button.
3) client record for allergies.

Question 29

The nurse’s client is using PCA morphine sulfate for pain management postoperatively; the nurse understand’s his or her responsibility to do which of the following?

Answer 29

1) Monitor the IV site for infiltration and phlebitis.
2) Assess the client’s level of comfort.
3) Document per facility protocol concerning the amount of medication used by the client.

Question 30

Decreased GI motility associated with opioid use can result in which of the following? Select all that apply.

Answer 30

a. prolonged postoperative ileus
b. abdominal distension
c. nausea and vomiting
d. pain
e. flatus
f. accumulation of bowel fluids

Question 31

Your client is receiving Nucynta, an opioid analgesic. Which of the following statements are true concerning this medication? Select all that apply.

Answer 31

b. Nucynta can be taken by clients 16 years old and older.
c. The client should avoid potentially hazardous tasks until the effects of the drug are known.
d. The medication is contraindicated for a client who has a paralytic ileus.