Chapter 7 Book Qs Flashcards
- Which type of pain drug has the highest risk for development of physical or psychological dependence?
A. Opioids B. NSAIDs C. Antidepressants D. Nonopioids
A
- Which opioid drug should be avoided for older adults?
A. Morphine B. Methadone C. Demerol D. Oxycodone
C
- Which vital sign is most important to monitor after giving a patient a dose of morphine for severe pain?
A. Blood pressure B. Heart rate C. Respiratory rate D. Oral temperature
C
- For which common side effect must you monitor on a daily basis for any patient taking any opioid drug for pain?
A. Confusion B. Constipation C. Tachycardia D. Diarrhea
B
- How can you assess pain in an infant?
A. Use a number-based pain scale. B. Ask the parents if they think the infant is in pain. C. Monitor the infant using the FLACC scale. D. Use a pain scale with faces to determine severity of the pain.
C
- Which side effects or adverse effects are associated with opioid analgesics? (Select all that apply.)
A. Aggression B. Slow, shallow respirations C. Constipation D. Widely dilated pupils E. High blood glucose levels F. Nausea and vomiting G. Irregular heartbeat H. Liver failure
B C F
- Which teaching point is essential for older adults prescribed an opioid drug for pain control?
A. Report the presence of constipation to the prescriber. B. Take any prescribed stool softeners at bedtime. C. Increase room lighting to decrease the risk of falling.
C
- Why is morphine categorized in the United States as a schedule II drug rather than a schedule I drug?
A. It has a high potential for abuse. B. It has a currently accepted use for treatment. C. It is a synthetic product rather than a naturally occurring substance. D. It is usually combined with nonopioid drugs when used for pain control.
B
- What is the most important action to take after administering any drug for pain?
A. Ask the patient whether the pain interferes with sleep. B. Assess the patient’s susceptibility for drug abuse. C. Ask the patient to rate his or her level of pain relief. D. Remind the patient that dependence is possible.
C
- Which opioid analgesic has the lowest normal recommended dosages?
A. Codeine (Paveral) B. Morphine (Duramorph) C. Meperidine (Demerol) D. Hydromorphone (Dilaudid)
D
- For which class of drug used for pain control in a small child should an apnea monitor and pulse oximetry be used to assess for respiratory depression?
A. Aspirin B. Opioids C. Acetaminophen D. Nonsteroidal anti-inflammatory drugs
B
- Which drug is available as an oral lozenge or lollipop?
A. Codeine B. Tramadol C. Fentanyl D. Hydrocodone
C
- What is the most important precaution to teach the parents of a 1-year-old child taking acetaminophen (Tylenol) for pain?
A. “Watch your child closely for slowing of the rate and depth of breathing.” B. “Be sure to call the prescriber if your child develops tremors of the hand.” C. “Read the label carefully for the correct amount of liquid drug to give your child.” D. “Check your child’s pain level using the FACES pain scale before and after you give the drug.”
C
- What is the most important precaution to teach a patient taking acetaminophen orally for pain?
A. Drink 8 ounces of water with each tablet. B. Avoid drinking alcohol while on this drug. C. Avoid driving or operative heavy equipment while on this drug. D. Be sure to wear sunscreen, a hat, and protective clothing when outdoors.
B
