Palliative Care Nursing Actual Exam
Questions and Answers
What is an example of a bulking agent -
✔✔psyllium requires substantial fluid intake
not recommended for those with advanced disease and poor mobility
true or false
if you increase opioids you increase bowel regimen - ✔✔true
What is the first line treatment for constipation - ✔✔oral colonic stimulant (senna, bisacodyl)
oral colonic osmotic (lactulose)
What is the second line treatment for constipation - ✔✔suppositories (glycerin or bisacodyl)
or enema
what is the third line treatment for constipation - ✔✔picolsulfate sodium-magnesium oxide citric
acid or methlnaltrexone (if opioid induced)
What are detergent based stool softeners - ✔✔docusate sodium
Examples of osmotic laxatives - ✔✔PEG3350 or lactulose
, Which medication can be used to counteract the opioid effect in the upper gastrointestinal tract -
✔✔prokinetic agents (metoclopramide)
med for opioid induced constipation - ✔✔methynaltrexone
What can opioid induced delirium or neurotoxicity be mistaken for - ✔✔pain - agitation,
moaning, groaning
Causes of delirium - ✔✔D- drugs, dehydration, depression
E- electrolyte, endocrine dysfunction, ETOH, drug use, abuse or withdrawal
L- liver failure
I- infection (UTI, pneumonia, sepsis)
R- respiratory problems (hypoxia), retention of urine or stool
I- increased intracranial pressure
U- Uremia (renal failure), under treated pain
M- metabolic disease, metastasis to brain, medication errors, malnutrition (thiamine, folate,
B12 deficiency)
Traditional Neuroleptics for delirium - ✔✔haloperidol (1-2mg PO)
methotrimeprazine 5-12.5mg PO or 6.25 -12.5mg subq
---- sedating
Atypical neuroleptics for delirium - ✔✔olanzepine (sedating) 2.5 to 5mg
PO Risperidone (non-sedating_ 0.5 to 2mg PO quetiapine 25 to 50mg
Which medication can worsen dyspnea - ✔✔benzodiazepines
What are considered palliative care emergencies - ✔✔delirium
Questions and Answers
What is an example of a bulking agent -
✔✔psyllium requires substantial fluid intake
not recommended for those with advanced disease and poor mobility
true or false
if you increase opioids you increase bowel regimen - ✔✔true
What is the first line treatment for constipation - ✔✔oral colonic stimulant (senna, bisacodyl)
oral colonic osmotic (lactulose)
What is the second line treatment for constipation - ✔✔suppositories (glycerin or bisacodyl)
or enema
what is the third line treatment for constipation - ✔✔picolsulfate sodium-magnesium oxide citric
acid or methlnaltrexone (if opioid induced)
What are detergent based stool softeners - ✔✔docusate sodium
Examples of osmotic laxatives - ✔✔PEG3350 or lactulose
, Which medication can be used to counteract the opioid effect in the upper gastrointestinal tract -
✔✔prokinetic agents (metoclopramide)
med for opioid induced constipation - ✔✔methynaltrexone
What can opioid induced delirium or neurotoxicity be mistaken for - ✔✔pain - agitation,
moaning, groaning
Causes of delirium - ✔✔D- drugs, dehydration, depression
E- electrolyte, endocrine dysfunction, ETOH, drug use, abuse or withdrawal
L- liver failure
I- infection (UTI, pneumonia, sepsis)
R- respiratory problems (hypoxia), retention of urine or stool
I- increased intracranial pressure
U- Uremia (renal failure), under treated pain
M- metabolic disease, metastasis to brain, medication errors, malnutrition (thiamine, folate,
B12 deficiency)
Traditional Neuroleptics for delirium - ✔✔haloperidol (1-2mg PO)
methotrimeprazine 5-12.5mg PO or 6.25 -12.5mg subq
---- sedating
Atypical neuroleptics for delirium - ✔✔olanzepine (sedating) 2.5 to 5mg
PO Risperidone (non-sedating_ 0.5 to 2mg PO quetiapine 25 to 50mg
Which medication can worsen dyspnea - ✔✔benzodiazepines
What are considered palliative care emergencies - ✔✔delirium
