Lilley: Pharmacology Chapter 10 and 11 Test Bank questions with 100% verified Answers.

A patient was diagnosed with pancreatic cancer last month, and has complained of a dull ache in the abdomen for the past 4 months. This pain has been gradually increasing, and the pain relievers taken at home are no longer effective. What type of pain is the patient experiencing? A. Acute pain B. Chronic pain C. Somatic pain D. Neuropathic pain B. Chronic Pain An 18-year-old basketball player fell and twisted his ankle during a game. The nurse will expect to administer which type of analgesic A. Synthetic opioid, such as meperidine (Demerol) B. Opium alkaloid, such as morphine sulfate C. Opioid antagonist, such as halo one HCL (Narcan) D. Nonopioid analgesic , such as indomethacin (Indocin) D. Nonopioid analgesic, such as indomethacin (Indocin) A patient is recovering from abdominal surgery, which he had this morning. He is groggy but complaining of severe pain around his incision. What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to the patient? A. His pulse rate B. His respiratory rate C. The appearance of the incision D. The date of his last bowel movement B. His respiratory rate A 78-year-old patient is in the recovery room after having a lengthy surgery on his hip. As he is gradually awakening, he requests pain medication. Within 10 minutes after receiving a dose of morphine sulfate, he is very lethargic and his respirations are shallow, with a rate of 7 per minute. The nurse prepares for which priority action at this time? A. Assessment of the patient's pain level B. Immediate intubation and artificial ventilation C. Administration of naloxone (Narcan) D. Close observation of signs of opioid tolerance C. Administration of naloxone (Narcan) A patient will be discharged with a 1-week supply of an opioid analgesic for pain management after abdominal surgery. The nurse will include which information in the teaching plan? A. How to prevent dehydration due to diarrhea B. The importance of taking the drug only when the pain becomes severe C. How to prevent constipation D. The importance of taking the drug on an empty stomach C. How to prevent constipation A patient has been treated for lung cancer for 3 years. Over the past few months, the patient has noticed that the opioid analgesic is not helping as much as it had previously and more medication is needed for he same pain relief. The nurse is aware that this patient is experience which of these? A. Opioid addiction B. Opioid tolerance C. Opioid toxicity D. Opioid abstinence syndrome B. Opioid tolerance A 38-year-old man has come into the urgent care center with severe hip pain after falling from a ladder at work. He says he has taken several pain pills over the past few hours but cannot remember how many he has taken. He hands the nurse an empty bottle of acetaminophen (Tylenol). The nurse is aware that the most serious toxic effect of acute acetaminophen overdose is which condition? A. Tachycardia B. Central nervous system depression C. Hepatic necrosis D. Nephropathy C. Hepatic necrosis A 57-year-old woman being treated for end-stage breast cancer has been using a transdermal opioid analgesic as part of the management of pain. Lately, she has been experiencing breakthrough pain. The nurse expects this type of pain to be managed by which of these interventions? A. Administering NSAIDs B. Administering an immediate-release opioid C. Changing the opioid route to the rectal route D. Making no changes to the current therapy B. Administering an immediate-release opioid The nurse is reviewing herbal therapies. Which is a common use of the herb feverfew? A. Muscle aches B. Migraine headaches C. Leg cramps D. Incision pain after surgery B. Migraine headaches A patient is to receive acetylcystenine (Mucomyst) as part of the treatment for an acetaminophen (Tylenol) overdose. Which action by the nurse is appraise when giving this medication? A. Giving the medication undiluted for full effect B. Avoiding the use of a straw when giving this medication C. Disguising the flavor with soda or flavored water D. Preparing to give this medication via a nebulizar C. Disguising the flavor with soda or flavored water A patient is receiving gabapentin (Neurontine), an anticonvulsant, but has no history of seizures. The nurse expects that the patient is receiving this drug for which condition? A. Inflammation pain B. Pain associated with peripheral neuropathy C. Depression associated with chronic pain D. Prevention of seizures B. Pain associated with peripheral neuropathy The nurse is assessing a patient who has been admitted to the emergency department for a possible opioid overdone. Which assessment finding is characteristic of an opioid drug overdone? A. Dilated pupils B. Restlessness C. Respiration rate of 6 breaths/min D. Heart rate of 55 beats/min C. Respiration rate of 6 breaths/min