A nurse finds that a pa ent with severe chronic pain has received two prescrip ons:
methadone, an opioid, and ibuprofen, a nonsteroidal an iflammatory drug (NSAID). What is the
likely ra onale for prescribing two analgesic drugs to this
Mul ple choice ques on -correct answers To prevent the side effects of the opioid drug
The prescribed pain medica on prescrip on reads: give hydromorphone 0.6 mg every three
hours intravenous (IV) push for severe postopera ve pain. The medica on injec on is available
in a 1 mg/mL strength. How much will the nurse draw up for each dose?
Mul ple choice ques on -correct answers 0.6 mL
A nurse is caring for a pa ent who has undergone internal fixa on surgery for fracture of the
bial sha . The pa ent is on opioid drugs postsurgery to relieve postsurgical pain. On
observa on, the nurse finds that the pa ent's respiratory rate is 7 breaths per minute and the
pa ent looks extremely drowsy. Which ac ons should the nurse take to prevent respiratory
failure in this pa ent?
Mul ple selec on ques on -correct answers Administer oxygen to the pa ent.
Make a empts to arouse the pa ent.
Obtain a prescrip on to reduce the dosage of opioid medica ons.
,A pa ent is receiving a pa ent-controlled analgesia (PCA) opioid infusion a er back surgery. The
pa ent is sleeping but awakens when the nurse speaks to the pa ent in a normal tone of voice.
However, during the conversa on, the pa ent dri s back to sleep. Respira ons are 8
breaths/minute. What is the most appropriate nursing ac on in this situa on?
Mul ple choice ques on -correct answers If prescribed, decrease the opioid dose 25% to 50%
A nurse explains cold therapy to a pa ent. Which statements would be appropriate for the
nurse to include? .
Mul ple selec on ques on -correct answers "Ice should not be applied over irradiated skin."
"Ice should always be applied in circular mo ons over the affected area."
"Ice can be applied on the contralateral side of the body over the same area."
Which substance produced in the human body is capable of producing an analgesic effect
similar to that of morphine?
Mul ple choice ques on
Serotonin
Histamine
Enkephalin
, Norepinephrine -correct answers Enkephalin
A postopera ve pa ent has a prescrip on to receive morphine sulfate 4 mg intramuscularly
(IM) every three to four hours as needed for pain. On hand are prefilled syringes labeled
morphine sulfate 10 mg/mL. How many mL should the nurse administer? Include a leading zero
if applicable. Record your answer using one decimal place.
mL -correct answers 0.4
A nurse is caring for a pa ent with a tension headache. A er taking aspirin the pa ent reports
feeling nauseated. The nurse should contact the primary health care provider to obtain a
prescrip on for what change in medica on?
Mul ple choice ques on -correct answers To decrease the dosage of aspirin
The pa ent is experiencing breakthrough pain and a dose of hydromorphone 2 mg intravenous
(IV) is prescribed. Available is a vial containing 5 mg/mL of solu on. How many mL should be
drawn up to give the dose?
Mul ple choice ques on -correct answers 0.4 mL
A pa ent who has had surgery for breast cancer reports ongoing, constant moderate pain with
short periods of severe pain during dressing changes. Which of these statements is true?
Mul ple choice ques on -correct answers The pain is best treated by receiving both a long-
ac ng and a short-ac ng opioid.
methadone, an opioid, and ibuprofen, a nonsteroidal an iflammatory drug (NSAID). What is the
likely ra onale for prescribing two analgesic drugs to this
Mul ple choice ques on -correct answers To prevent the side effects of the opioid drug
The prescribed pain medica on prescrip on reads: give hydromorphone 0.6 mg every three
hours intravenous (IV) push for severe postopera ve pain. The medica on injec on is available
in a 1 mg/mL strength. How much will the nurse draw up for each dose?
Mul ple choice ques on -correct answers 0.6 mL
A nurse is caring for a pa ent who has undergone internal fixa on surgery for fracture of the
bial sha . The pa ent is on opioid drugs postsurgery to relieve postsurgical pain. On
observa on, the nurse finds that the pa ent's respiratory rate is 7 breaths per minute and the
pa ent looks extremely drowsy. Which ac ons should the nurse take to prevent respiratory
failure in this pa ent?
Mul ple selec on ques on -correct answers Administer oxygen to the pa ent.
Make a empts to arouse the pa ent.
Obtain a prescrip on to reduce the dosage of opioid medica ons.
,A pa ent is receiving a pa ent-controlled analgesia (PCA) opioid infusion a er back surgery. The
pa ent is sleeping but awakens when the nurse speaks to the pa ent in a normal tone of voice.
However, during the conversa on, the pa ent dri s back to sleep. Respira ons are 8
breaths/minute. What is the most appropriate nursing ac on in this situa on?
Mul ple choice ques on -correct answers If prescribed, decrease the opioid dose 25% to 50%
A nurse explains cold therapy to a pa ent. Which statements would be appropriate for the
nurse to include? .
Mul ple selec on ques on -correct answers "Ice should not be applied over irradiated skin."
"Ice should always be applied in circular mo ons over the affected area."
"Ice can be applied on the contralateral side of the body over the same area."
Which substance produced in the human body is capable of producing an analgesic effect
similar to that of morphine?
Mul ple choice ques on
Serotonin
Histamine
Enkephalin
, Norepinephrine -correct answers Enkephalin
A postopera ve pa ent has a prescrip on to receive morphine sulfate 4 mg intramuscularly
(IM) every three to four hours as needed for pain. On hand are prefilled syringes labeled
morphine sulfate 10 mg/mL. How many mL should the nurse administer? Include a leading zero
if applicable. Record your answer using one decimal place.
mL -correct answers 0.4
A nurse is caring for a pa ent with a tension headache. A er taking aspirin the pa ent reports
feeling nauseated. The nurse should contact the primary health care provider to obtain a
prescrip on for what change in medica on?
Mul ple choice ques on -correct answers To decrease the dosage of aspirin
The pa ent is experiencing breakthrough pain and a dose of hydromorphone 2 mg intravenous
(IV) is prescribed. Available is a vial containing 5 mg/mL of solu on. How many mL should be
drawn up to give the dose?
Mul ple choice ques on -correct answers 0.4 mL
A pa ent who has had surgery for breast cancer reports ongoing, constant moderate pain with
short periods of severe pain during dressing changes. Which of these statements is true?
Mul ple choice ques on -correct answers The pain is best treated by receiving both a long-
ac ng and a short-ac ng opioid.
