Chapter 20 Drugs Used for Pain Management

Chapter 20  Drugs Used for Pain Management

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse is completing an assessment on a nonverbal adult patient. Which type of pain scale assessment tool is the most accurate to use?
A.
TPPPS
B.
FLACC
C.
POCIS
D.
MOPS

ANS: B

Feedback
A
The Toddler-Preschooler Postoperative Pain Scale would not be appropriate for this patient.
B
The FLACC scale would be used to assess pain in the nonverbal patient.
C
The Pain Observation Scale for Young Children would not be appropriate for this patient.
D
The Modified Objective Pain Scale would not be appropriate for this patient.

DIF: Cognitive Level: Application REF: 311
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity

2. Which action will the nurse take when a patient receiving morphine sulfate via PCA has a shallow, irregular respiratory rate of 6/min?
A.
Elevate the patient’s head of bed to facilitate lung expansion.
B.
Increase the patient’s primary IV flow rate.
C.
Complete the FLACC scale.
D.
Notify the health care provider and prepare to administer naloxone (Narcan).

ANS: D

Feedback
A
Lung expansion would not relieve respiratory depression.
B
Increasing the primary IV infusion rate would not relieve respiratory depression.
C
Assessing the patient’s pain at this point is a lesser priority than treating the respiratory depression.
D
The patient is exhibiting signs of respiratory depression. Administration of the antidote naloxone would be the most appropriate nursing intervention.

DIF: Cognitive Level: Application REF: 324
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity

3. Which patient assessment would indicate to the nurse that salicylate toxicity is occurring?
A.
Gastrointestinal bleeding
B.
Increased bleeding times
C.
Tinnitus
D.
Occasional nausea

ANS: C

Feedback
A
Although salicylates may cause GI bleeding over time, it is not a symptom associated with toxicity.
B
Increased bleeding time is an effect associated with the treatment of clots.
C
Symptoms of salicylism include ringing in the ears (tinnitus), impaired hearing, dimming of vision, sweating, fever, lethargy, dizziness, mental confusion, nausea, and vomiting.
D
Occasional nausea is a common adverse effect of treatment with salicylates; it is not a sign of toxicity.

DIF: Cognitive Level: Comprehension REF: 326
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity

4. What is the advantage of taking an NSAID that is a COX-2 inhibitor?
A.
The medication is cheaper than aspirin.
B.
There are fewer gastrointestinal adverse effects.
C.
They are more effective than COX-1 inhibitors.
D.
They have no known adverse effects.

ANS: B

Feedback
A
Aspirin is one of the least expensive analgesics available.
B
COX-2 inhibitor NSAIDs have fewer gastrointestinal adverse effects than salicylates or COX-1 inhibitors.
C
The anti-inflammatory actions of NSAIDs are caused by COX-2 inhibition; the unwanted adverse effects are caused by inhibition of COX-1.
D
All these medications have adverse effects.

DIF: Cognitive Level: Knowledge REF: 331
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity