N221 Ch 10 NCLEX Practice Questions and Correct Answers

A patient needs to switch analgesic drugs secondary to an adverse reaction to the present regimen. The patient is concerned that he will not receive an effective dose of a new drug to control pain. The nurse responds based on knowledge that potencies of analgesics are determined using an equianalgesic table comparing doses of these drugs with what prototype? - meperidine - fentanyl - codeine - morphine - morphine The equianalgesic table identifies dosages of various narcotics that are equal to 10 mg of morphine. A patient is admitted to the psychiatric unit for treatment of narcotic addiction. The nurse would anticipate administration of which medication? - morphine - methadone - meperidine - naloxone - methadone Methadone is a synthetic opioid analgesic with gentler withdrawal symptoms and is the drug of choice for detoxification treatment. A patient has been admitted after overdosing on acetaminophen (Tylenol), with a total ingested dose of 14 g over a period of 1 hour. The nurse plans to monitor this patient for development of which of the following signs and symptoms related to the overdose? - Renal failure - Kidney stones - Acute hepatic necrosis - Metabolic alkalosis - Acute hepatic necrosis Acetaminophen in large doses over a short period is extremely hepatotoxic. The long-term ingestion of large doses of acetaminophen is more likely to result in nephropathy. While admitting a patient for treatment of an acetaminophen overdose, the nurse prepares to administer which medication to prevent toxicity? - naloxone (Narcan) - acetylcysteine (Mucomyst) - methylprednisolone (Solu-Medrol) - vitamin K - acetylcysteine (Mucomyst