NUR 325 - EXAM 1 STUDY GUIDE
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
A 29-year-old client with a femur fracture is prescribed oral
tramadol for pain. The client reports severe constipation. Which
nursing teaching is most appropriate?
a. "Take a stool softener and increase fiber and fluids"
b. "Reduce the frequency of your pain medication"
c. "Switch to acetaminophen for pain control"
d. "Stop the medication immediately" - correct answer-
a. "Take a stool softener and increase fiber and fluids"
A 40-year-old client is recovering from abdominal surgery and is
prescribed IV morphine for severe postoperative pain. After
receiving a dose, the client reports pain relief but the nurse
notes a respiratory rate of 8 breaths/min., drowsiness, and
shallow breathing. Which action should the nurse take first?
a. Notify the healthcare provider
,b. Administer naloxone as prescribed
c. Place the client on their side
d. Decrease the next morphine dose - correct answer-
b. Administer naloxone as prescribed
A 45-year-old client with kidney stones is prescribed ketorolac
(Toradol) IV for severe pain. The nurse reviews the chart:
Creatinine: 2.2 mg/dL (↑)
History: GERD, seasonal allergies
Question: What is the safest nursing action?
a. Hold the medication and notify the provider due to renal
impairment.
b. Administer the medication as ordered.
c. Administer with food to prevent GI upset.
d. Give a lower dose than prescribed. - correct answer-
a. Hold the medication and notify the provider due to renal
impairment.
A 52-year-old client with diabetic neuropathy, experiencing
neuropathic pain is prescribed gabapentin. The client says, "I
,thought this was a seizure medicine. Why am I taking it for
pain?" Which is the nurse's best response?
a. "Your provider is trying this drug because opioids are not
effective for nerve pain."
b. "This medication blocks pain messages sent by your nerves"
c. "You should ask your provider because this medication isn't
usually used for pain"
d. "You are right. This drug is mainly for seizures, not pain" -
correct answer- b. "This medication blocks pain
messages sent by your nerves"
A 67-year-old client with osteoarthritis is prescribed naproxen
for chronic joint pain. During a follow-up visit, the client reports
new onset of dark, tarry stools. Which teaching point should the
nurse reinforce?
a. "This is a normal side effect; continue taking the medication"
b. "Increase your fluid intake to help with the stool changes"
c. "Stop taking the medication and notify your healthcare
provider immediately"
, d. "Take an antacid to reduce stomach upset and continue the
drug" - correct answer- c. "Stop taking the medication
and notify your healthcare provider immediately"
A 68-year-old client with liver cirrhosis reports headache and
asks for acetaminophen. What is the best action?
a. Give the medication as ordered.
b. Encourage the client to increase fluids.
c. Offer an opioid alternative.
d. Question the order due to risk of hepatotoxicity. - correct
answer- d. Question the order due to risk of
hepatotoxicity.
A 72-year-old client with arthritis reports chronic knee pain. The
provider prescribes ibuprofen. The nurse reviews the client's
history:
Hypertension
Peptic ulcer disease
Occasional alcohol use
Question: What is the nurse's best action?
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
A 29-year-old client with a femur fracture is prescribed oral
tramadol for pain. The client reports severe constipation. Which
nursing teaching is most appropriate?
a. "Take a stool softener and increase fiber and fluids"
b. "Reduce the frequency of your pain medication"
c. "Switch to acetaminophen for pain control"
d. "Stop the medication immediately" - correct answer-
a. "Take a stool softener and increase fiber and fluids"
A 40-year-old client is recovering from abdominal surgery and is
prescribed IV morphine for severe postoperative pain. After
receiving a dose, the client reports pain relief but the nurse
notes a respiratory rate of 8 breaths/min., drowsiness, and
shallow breathing. Which action should the nurse take first?
a. Notify the healthcare provider
,b. Administer naloxone as prescribed
c. Place the client on their side
d. Decrease the next morphine dose - correct answer-
b. Administer naloxone as prescribed
A 45-year-old client with kidney stones is prescribed ketorolac
(Toradol) IV for severe pain. The nurse reviews the chart:
Creatinine: 2.2 mg/dL (↑)
History: GERD, seasonal allergies
Question: What is the safest nursing action?
a. Hold the medication and notify the provider due to renal
impairment.
b. Administer the medication as ordered.
c. Administer with food to prevent GI upset.
d. Give a lower dose than prescribed. - correct answer-
a. Hold the medication and notify the provider due to renal
impairment.
A 52-year-old client with diabetic neuropathy, experiencing
neuropathic pain is prescribed gabapentin. The client says, "I
,thought this was a seizure medicine. Why am I taking it for
pain?" Which is the nurse's best response?
a. "Your provider is trying this drug because opioids are not
effective for nerve pain."
b. "This medication blocks pain messages sent by your nerves"
c. "You should ask your provider because this medication isn't
usually used for pain"
d. "You are right. This drug is mainly for seizures, not pain" -
correct answer- b. "This medication blocks pain
messages sent by your nerves"
A 67-year-old client with osteoarthritis is prescribed naproxen
for chronic joint pain. During a follow-up visit, the client reports
new onset of dark, tarry stools. Which teaching point should the
nurse reinforce?
a. "This is a normal side effect; continue taking the medication"
b. "Increase your fluid intake to help with the stool changes"
c. "Stop taking the medication and notify your healthcare
provider immediately"
, d. "Take an antacid to reduce stomach upset and continue the
drug" - correct answer- c. "Stop taking the medication
and notify your healthcare provider immediately"
A 68-year-old client with liver cirrhosis reports headache and
asks for acetaminophen. What is the best action?
a. Give the medication as ordered.
b. Encourage the client to increase fluids.
c. Offer an opioid alternative.
d. Question the order due to risk of hepatotoxicity. - correct
answer- d. Question the order due to risk of
hepatotoxicity.
A 72-year-old client with arthritis reports chronic knee pain. The
provider prescribes ibuprofen. The nurse reviews the client's
history:
Hypertension
Peptic ulcer disease
Occasional alcohol use
Question: What is the nurse's best action?
