Pharm - Ch. 10 - Analgesic Meds (NCLEX)fully solved 2024

Pharm - Ch. 10 - Analgesic Meds (NCLEX)A patient needs to switch analgesic drugs secondary to an adverse reaction to the current treatment regimen. The patient is concerned that the new prescription will not provide optimal pain control. The nurse's response is based on knowledge that doses of analgesics are determined using an equianalgesic table with which drug prototype? A. Meperidine B. Fentanyl C. Codeine D. Morphine - correct answer D. Morphine The nurse is caring for a patient with opioid addiction. The nurse anticipates that the patient will be prescribed which medication? A. Naloxone (Narcan) B. Meperidine (Demerol) C. Morphine (MS Contin) D. Methadone (Dolophine) - correct answer D. Methadone (Dolophine) While admitting a patient for treatment of an acetaminophen (Tylenol) overdose, the nurse prepares to administer which medication to prevent toxicity? Naloxone (Narcan) Phytonadione (vitamin K) Acetylcysteine (Mucomyst) Methylprednisolone (Solu-Medrol) - correct answer Acetylcysteine (Mucomyst) A patient prescribed massage therapy for musculoskeletal pain asks the nurse, "How is rubbing my muscles going to make the pain go away?" What is the nurse's best response? A. "Massaging muscles helps relax the contracted fibers and decrease painful stimuli." Incorrect B. "Massaging muscles decreases the inflammatory response that initiates the painful stimuli." C. "Massaging muscles activates large sensory nerve fibers that send signals to the spinal cord to close the gate, thus blocking painful stimuli from reaching the brain." D. "Massaging muscles activates small sensory nerve fibers that send signals to the spinal cord to open the gate and allow endorphins to reach the muscles and relieve the pain." - correct answer C. "Massaging muscles activates large sensory nerve fibers that send signals to the spinal cord to close the gate, thus blocking painful stimuli from reaching the brain." What assessment is highest priority when monitoring a patient on an opioid analgesic? A. Heart rate B. Mental status C. Blood pressure D. Respiratory rate - correct answer D. Respiratory rate Which medication is used to treat a patient with severe adverse effects of a narcotic analgesic and reverse the adverse effects? A. Naloxone (Narcan) B. Acetylcysteine (Mucomyst) C. Methylprednisolone (Solu-Medrol) D. Flumazenil (Romazicon) - correct answer A. Naloxone (Narcan) A patient with a diagnosis of pneumonia asks the nurse, "Why am I receiving codeine when I have no pain?" The nurse's response is based on knowledge that codeine also has what effect? A. Expectorant