NURS 3517 Test 2 Questions and Answers with 100% Correct Answers
Already Graded A+
Analgesics drugs - (ANSWER)Relieve pain without causing a loss of consciousness.
Pain - (ANSWER)an unpleasant sensory and emotional experience associated with actual or potential
tissue damage
Nocioception - (ANSWER)it is the processing of pain signals in the brain that give rise to the feeling of
pain.
Acute pain - (ANSWER)sudden onset, usually subsides once treated
Persistent pain (chronic pain) - (ANSWER)•Persistent or recurring
•Lasts 3 to 6 months
•More difficult to treat
•Tolerance
Reffered pain - (ANSWER)Occurs in an area away from the organ in which it originates
Neuropathic pain - (ANSWER)Usually results from damage to peripheral or central nervous system (CNS)
nerve fibres by disease or injury
Central pain - (ANSWER)Occurs from any disorder that causes central nervous system damage
Gate Theory of Pain Transmission - (ANSWER)- The most common and well-described theory.
- Uses the analogy of a gate to describe how impulses from damaged tissues are sensed in the brain.
Adjuvant drugs - (ANSWER)Assist primary drugs in relieving pain
-NSAIDs
-Antidepressants
,NURS 3517 Test 2 Questions and Answers with 100% Correct Answers
Already Graded A+
-Anticonvulsants
-Corticosteroids
Adjuvant drugs use - (ANSWER)Using adjuvant drugs allows the use of smaller dosages of opioids and
reduces some adverse effects seen with higher dosages of opioids
Opioid drugs - (ANSWER)synthetic drugs that bind to the opiate receptors to relieve pain, very strong
pain relievers
Opioid Analgesics: Mechanism of Action - (ANSWER)Three classifications based on their actions
-Agonists
-Agonists-antagonists
-Antagonists (nonanalgesic)
Equianalgesia - (ANSWER)Ability to provide equivalent pain relief by calculating dosages of different
drugs or routes of administration that provide comparable analgesia
Opioid Analgesics: Indications - (ANSWER)-Main use: to alleviate moderate to severe pain
-Often first-line analgesic in immediate post-operative setting
Opioid Analgesics: Contraindications - (ANSWER)-Known drug allergy
-Severe asthma
-Use with extreme caution in patients with:
Respiratory insufficiency
Elevated intracranial pressure
Morbid obesity and/or sleep apnea
Pregnancy
, NURS 3517 Test 2 Questions and Answers with 100% Correct Answers
Already Graded A+
A patient recovering from an appendectomy also has asthma and allergies to shellfish and iodine. To
manage the patient's postoperative pain, the physician has prescribed PCA with hydromorphone
(Dilaudid). Which vital sign is of greatest concern?
a)Pulse
b)Blood pressure
c)Temperature
d)Respirations - (ANSWER)D - BECAUSE OF ALLERGIES
Opioid Analgesics: Adverse Effects - (ANSWER)-CNS depression which could lead to respiratory
depression
-only given enough to control the pain without affecting their respiratory function.
3.A patient who has metastasized bone cancer and has been on transdermal fentanyl patches for pain
management for 3 months has been hospitalized for tests and has told the nurse that the pain is
becoming "unbearable." The nurse is reluctant to administer the ordered pain medication because the
nurse does not want the patient to become addicted to the medication. The nurse's actions reflect which
of the following:
a)Appropriate concern for the patient's best welfare
b)Appropriate caution for a patient who is already on a long-term opioid
c)An uncaring attitude toward the patient
d)Failure to manage the patient's pain properly - (ANSWER)D
Opioid Analgesics: Toxicity and Management of Overdose - (ANSWER)-Naloxone hydrochloride
-Regardless of withdrawal symptoms, when a patient experiences severe respiratory depression, an
opioid antagonist should be given.
Opioid Analgesics: Interactions - (ANSWER)• Alcohol
Already Graded A+
Analgesics drugs - (ANSWER)Relieve pain without causing a loss of consciousness.
Pain - (ANSWER)an unpleasant sensory and emotional experience associated with actual or potential
tissue damage
Nocioception - (ANSWER)it is the processing of pain signals in the brain that give rise to the feeling of
pain.
Acute pain - (ANSWER)sudden onset, usually subsides once treated
Persistent pain (chronic pain) - (ANSWER)•Persistent or recurring
•Lasts 3 to 6 months
•More difficult to treat
•Tolerance
Reffered pain - (ANSWER)Occurs in an area away from the organ in which it originates
Neuropathic pain - (ANSWER)Usually results from damage to peripheral or central nervous system (CNS)
nerve fibres by disease or injury
Central pain - (ANSWER)Occurs from any disorder that causes central nervous system damage
Gate Theory of Pain Transmission - (ANSWER)- The most common and well-described theory.
- Uses the analogy of a gate to describe how impulses from damaged tissues are sensed in the brain.
Adjuvant drugs - (ANSWER)Assist primary drugs in relieving pain
-NSAIDs
-Antidepressants
,NURS 3517 Test 2 Questions and Answers with 100% Correct Answers
Already Graded A+
-Anticonvulsants
-Corticosteroids
Adjuvant drugs use - (ANSWER)Using adjuvant drugs allows the use of smaller dosages of opioids and
reduces some adverse effects seen with higher dosages of opioids
Opioid drugs - (ANSWER)synthetic drugs that bind to the opiate receptors to relieve pain, very strong
pain relievers
Opioid Analgesics: Mechanism of Action - (ANSWER)Three classifications based on their actions
-Agonists
-Agonists-antagonists
-Antagonists (nonanalgesic)
Equianalgesia - (ANSWER)Ability to provide equivalent pain relief by calculating dosages of different
drugs or routes of administration that provide comparable analgesia
Opioid Analgesics: Indications - (ANSWER)-Main use: to alleviate moderate to severe pain
-Often first-line analgesic in immediate post-operative setting
Opioid Analgesics: Contraindications - (ANSWER)-Known drug allergy
-Severe asthma
-Use with extreme caution in patients with:
Respiratory insufficiency
Elevated intracranial pressure
Morbid obesity and/or sleep apnea
Pregnancy
, NURS 3517 Test 2 Questions and Answers with 100% Correct Answers
Already Graded A+
A patient recovering from an appendectomy also has asthma and allergies to shellfish and iodine. To
manage the patient's postoperative pain, the physician has prescribed PCA with hydromorphone
(Dilaudid). Which vital sign is of greatest concern?
a)Pulse
b)Blood pressure
c)Temperature
d)Respirations - (ANSWER)D - BECAUSE OF ALLERGIES
Opioid Analgesics: Adverse Effects - (ANSWER)-CNS depression which could lead to respiratory
depression
-only given enough to control the pain without affecting their respiratory function.
3.A patient who has metastasized bone cancer and has been on transdermal fentanyl patches for pain
management for 3 months has been hospitalized for tests and has told the nurse that the pain is
becoming "unbearable." The nurse is reluctant to administer the ordered pain medication because the
nurse does not want the patient to become addicted to the medication. The nurse's actions reflect which
of the following:
a)Appropriate concern for the patient's best welfare
b)Appropriate caution for a patient who is already on a long-term opioid
c)An uncaring attitude toward the patient
d)Failure to manage the patient's pain properly - (ANSWER)D
Opioid Analgesics: Toxicity and Management of Overdose - (ANSWER)-Naloxone hydrochloride
-Regardless of withdrawal symptoms, when a patient experiences severe respiratory depression, an
opioid antagonist should be given.
Opioid Analgesics: Interactions - (ANSWER)• Alcohol
