Pharmacology Flashcards
Pain in neonates is consistently underrated. However research indicates that neonates do feel pain because they have what? A. Abundant C fibres B. Fully developed A-delta fibres C. An exogenous analgesia system D. Reduced pain threshold
A
In administrating opioid analgesics to a patient, it is most important that the nurse know that opioid analgesics act mainly by:
A. causing sleep
B. binding with opioid receptors
C. increasing transmission of pain impulses between nerve cells
D. Decreasing the amount of norepinephrine and serotonin in synapses in the brain.
B
When caring for a patient who is receiving morphine, it is most important that the nurse regularly assess for which of the following? A. respiratory depression B. hypoactive bowel sounds C. decreased urination D. insomnia
A
A post-op surgical pt is prescribed patient controlled analgesia, but his family questions why the pain medication is being given in this manner. The nurse is most correct in explaining that the main advantage of patient-controlled analgesia systems is that they: A. require less nursing time B. cause fewer adverse effects C. relieve pain more effectively D. can be used long term
C
The nurse is caring for a patient with severe cancer pain. The family is questioning when analgesics should be given. The nurse is correct in explaining that in cases of severe pain, analgesics should be given:
A. When the patient asks for them
B. If a family member or friend asks that they should be given
C. When a patient is restless indicating pain even if unable to verbalize this
D. On a regular schedule, around-the-clock
D
A patient who has had a MI is taking a beta blocker. What is the main benefit of beta blocker therapy for this patient?
A. Vasodilation of the coronary arteries
B. Increased force of cardiac contraction
C. Slowing of the heart rate
D. Maintaining adequate BP
C
A patient asks how to apply transdermal nitroglycerin. What should the nurse say to the patient in response?
A. “Always apply the transdermal patch over the area of your chest where your heart is”
B. “Keep the previous patch on for 1 full day so you always have 2 patches on at a time”
C. “Apply the patch to hairless areas of the body”
D. “First apply Vasoline to your body; then apply the transdermal patch”
C
What instructions will the nurse include when teaching patients about taking beta blocking drugs for the treatment of angina?
A. “Call your HCP if your heart rate is 64 beats/min”
B. “These drugs are safe to use in patents who have asthma”
C. “Call your HCP if you experience a weight gain of 1 kg or more in 24 hours or 2.3 kg or more in 1 week”
D. “Avoid taking these medications with grapefruit juice”
C
A 63 year old woman continues to complain of chest pain although her cardiac catheterization showed no significant cardiac disease. She notes that the chest pain occurs at the same time each night and typically during the cold weather. What kind of angina is the patient likely experiencing? A. Stable angina B. Unstable angina C. Variant angina D. Acute coronary syndrome
C
A pt with heart failure is receiving lasix. The nurse should monitor the pt for which adverse effect of the medication? A. Nausea B. Gastric upset C. Muscle weakness D. Increase in urinary output
C
