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Nurs 399 Pain 2026/2027 | Pathophysiology & Pharmacology Study Guide, Practice Questions & Exam Review

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NURS 399 PAIN 2026/2027 | PATHOPHYSIOLOGY & PHARMACOLOGY STUDY GUIDE, PRACTICE QUESTIONS & EXAM REVIEW

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NURS 399 PAIN 2026/2027 |
PATHOPHYSIOLOGY &
PHARMACOLOGY STUDY GUIDE,
PRACTICE QUESTIONS & EXAM
REVIEW

1 of 74

Term



When do you deliver naloxone?



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pre-op, intra-op, post-op chronic and acute pain




skin and MSK RR < 10/min


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2 of 74

,Term



S/A/E of naloxone?

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conduct analgesic trial to confirm
pain that arises from tissue injury,
pain and create basis for treatment
tissue damage, or inflammation
plan




loss of analgesia, diaphoresis,
muscle relaxants, local anesthetics,
hyperthermia, HTN, tremors,
anticonvulsants, antidepressants
hyperventilation, N/V


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3 of 74

Term



When and why are NSAIDs used?



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metoclopramide (reglan) and
mild-moderate pain, fever control
ondansetron (zofran)




mild-moderate pain, chronic peripheral vasodilation resulting in
inflammation and pain hypotension

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4 of 74

Term



What do you need to watch out for with repeated metoclopramide
dosing?



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CNS depressant meds: barbituates,
carbamazepine (Tegretol) and
benzodiazepines, sedatives,
gabapentin (Neurontin)
hypnotics, alcohol




produces toxic metabolite
normeperidine, produces tardive dyskinesia (TD), puffing
neurotoxicity, confusion, tremors, cheeks, lip smacking, facial tics
agitation, AMS


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5 of 74

Term



What is the fourth step to measure pain?



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, PRN pain management, pt has
evaluate physiological indicators
control of administration




conduct analgesic trial to
ask the patient to describe and rate
confirm pain and create basis
pain levels
for treatment plan


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6 of 74

Term



When can you use ATC dosing?



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if pain is present more than 50%
pre-op, intra-op, post-op
of the day




mild-moderate pain, chronic for breakthrough pain, intermittent
inflammation and pain pain


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7 of 74

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