NSG 6020 Final Exam Questions and Answers Graded A+

NSG 6020 Final Exam Questions and Answers Graded A+ T or F: Opioid therapy is first line treatment for neuropathic pain FALSE Abnormal signal processes in the CNS (type of pain) Neuropathic Tissue damage/injury (type of pain) Nociceptive Acute Pain features: Sudden, usually identifiable cause, less than 3 mths duration Usually a response to an injury, usually nociceptive (Tissue damage) Chronic Pain features: > 3 mths Non-cancer or Cancer pain Breakthrough pain Refer for a team-based approach 2 adjuvant therapy options for pain Anticonvulsants & Antidepressants 1st line for mild-moderate pain control Acetaminophen, NSAIDs Use __________ doses of acetaminophen or NSAIDs before proceeding to opioid analgesics MAX doses Considerations for NSAID therapy Cardiovascular and GI bleeding Which is anti-inflammatory? Tylenol or NSAIDs? NSAIDs Which alters platelet functioning? Tylenol or NSAIDs? NSAIDs. Tylenol does NOT alter platelet functioning Adverse effect of Acetaminophen Hepatotoxicity; most common cause of acute liver failure in US T or F: Acetaminophen interacts w/ warfarin/Coumadin. If so, how? TRUE; prolongs INR Max dosing of Acetaminophen for adults? For elderly? 3,000 mg/day on back of OTC labels- can be up to 4,000 mg/day under medical supervision (short term) 2,000 mg/day for elderly (less GI risk) Warn about other sources in OTC products Drug of choice for analgesic and antipyretic issues in pregnancy and while lactating Acetaminophen T or F: short to moderate acting NSAIDs are preferred for most patients? True (Ex. Naproxen- Alleve or Ibuprofen - Advil) _________ interfere w/ the cardioprotective effect of aspirin NSAIDs ___________ may have less CV toxicity than comparable doses of other NSAIDs Naproxen