Chapter 19: Drugs Used for Pain
Management exam with question and
answer 100% correct
Terms in this set (22)
The nurse is completing an assessment on a ANS: B
nonverbal adult patient. Which type of pain The Face, Legs, Activity, Cry, Consolability (FLACC)
scale scale would be used to assess pain in
assessment tool is the most accurate to use? the nonverbal patient. The Toddler Preschooler Postoperative
a.TPPPS Pain Scale (TPPPS), Pain
b. FLACC Observation Scale for Young Children (POCIS), and Modified
c. POCIS Objective Pain Scale (MOPS)
d. MOPS would not be appropriate for this patient.
, Which action will the nurse take when a ANS: D
patient receiving morphine sulfate via The patient is exhibiting signs of respiratory depression.
percutaneous Administration of the antidote
coronary angioplasty (PCA) has a shallow, naloxone would be the most appropriate nursing intervention.
irregular respiratory rate of 6 breaths/min? Lung expansion or increasing
a.Elevate the patient's head of bed to the primary IV infusion rate would not relieve
respiratory facilitate lung expansion. depression. Assessing the patient's
b. Increase the patient's primary intravenous pain at this point is a lesser priority than treating the
(IV) flow rate. respiratory depression.
c. Complete the FLACC scale.
d. Notify the health care provider and
prepare to administer naloxone (Narcan).
Which patient assessment would indicate to ANS: C
the nurse that salicylate toxicity is Symptoms of salicylism include ringing in the ears (tinnitus),
occurring? impaired hearing, dimming of
a.Gastrointestinal (GI) bleeding vision, sweating, fever, lethargy, dizziness, mental confusion,
b. Increased bleeding times nausea, and vomiting. Although
c.Tinnitus salicylates may cause GI bleeding over time, it is not a
d. Occasional nausea symptom associated with toxicity.
What is the advantage of taking a ANS: B
nonsteroidal anti inflammatory drug (NSAID) COX 2 inhibitor NSAIDs have fewer GI adverse effects than
that is a COX salicylates or COX 1 inhibitors.
2 inhibitor? Aspirin is one of the least expensive analgesics available. The
a.The medication is cheaper than aspirin. anti inflammatory actions of
b.There are fewer GI adverse effects. NSAIDs are caused by COX 2 inhibition; the unwanted
c.They are more effective than COX 1 adverse effects are caused by
inhibitors. inhibition of COX 1. All these medications have adverse
d.They have no known adverse effects. effects.
An 86 year old patient who was admitted ANS: C
with GI bleeding as a result of salicylate Acetaminophen (Tylenol) is effective as an analgesic or
therapy is antipyretic. Tylenol does not possess
being discharged. As the nurse reviews the any anti inflammatory activity and is therefore ineffective
in discharge medication list, the patient states relieving symptoms related to
that inflammation. Tylenol and aspirin are distinctly different drugs.
she doesn't understand why Tylenol doesn'tTylenol can be useful in the
work as well as the aspirin she had been relief of moderate pain. Tylenol can be effective in a
single taking. dose, without needing treatment
What would be the nurse's best response? over a period of time.
a."Tylenol and aspirin are chemically
the same drug."
b. "Tylenol is appropriate for only minor
pain."
c. "Tylenol does not help with
inflammatory discomfort."
d. "A therapeutic blood level must
be established with Tylenol."
Management exam with question and
answer 100% correct
Terms in this set (22)
The nurse is completing an assessment on a ANS: B
nonverbal adult patient. Which type of pain The Face, Legs, Activity, Cry, Consolability (FLACC)
scale scale would be used to assess pain in
assessment tool is the most accurate to use? the nonverbal patient. The Toddler Preschooler Postoperative
a.TPPPS Pain Scale (TPPPS), Pain
b. FLACC Observation Scale for Young Children (POCIS), and Modified
c. POCIS Objective Pain Scale (MOPS)
d. MOPS would not be appropriate for this patient.
, Which action will the nurse take when a ANS: D
patient receiving morphine sulfate via The patient is exhibiting signs of respiratory depression.
percutaneous Administration of the antidote
coronary angioplasty (PCA) has a shallow, naloxone would be the most appropriate nursing intervention.
irregular respiratory rate of 6 breaths/min? Lung expansion or increasing
a.Elevate the patient's head of bed to the primary IV infusion rate would not relieve
respiratory facilitate lung expansion. depression. Assessing the patient's
b. Increase the patient's primary intravenous pain at this point is a lesser priority than treating the
(IV) flow rate. respiratory depression.
c. Complete the FLACC scale.
d. Notify the health care provider and
prepare to administer naloxone (Narcan).
Which patient assessment would indicate to ANS: C
the nurse that salicylate toxicity is Symptoms of salicylism include ringing in the ears (tinnitus),
occurring? impaired hearing, dimming of
a.Gastrointestinal (GI) bleeding vision, sweating, fever, lethargy, dizziness, mental confusion,
b. Increased bleeding times nausea, and vomiting. Although
c.Tinnitus salicylates may cause GI bleeding over time, it is not a
d. Occasional nausea symptom associated with toxicity.
What is the advantage of taking a ANS: B
nonsteroidal anti inflammatory drug (NSAID) COX 2 inhibitor NSAIDs have fewer GI adverse effects than
that is a COX salicylates or COX 1 inhibitors.
2 inhibitor? Aspirin is one of the least expensive analgesics available. The
a.The medication is cheaper than aspirin. anti inflammatory actions of
b.There are fewer GI adverse effects. NSAIDs are caused by COX 2 inhibition; the unwanted
c.They are more effective than COX 1 adverse effects are caused by
inhibitors. inhibition of COX 1. All these medications have adverse
d.They have no known adverse effects. effects.
An 86 year old patient who was admitted ANS: C
with GI bleeding as a result of salicylate Acetaminophen (Tylenol) is effective as an analgesic or
therapy is antipyretic. Tylenol does not possess
being discharged. As the nurse reviews the any anti inflammatory activity and is therefore ineffective
in discharge medication list, the patient states relieving symptoms related to
that inflammation. Tylenol and aspirin are distinctly different drugs.
she doesn't understand why Tylenol doesn'tTylenol can be useful in the
work as well as the aspirin she had been relief of moderate pain. Tylenol can be effective in a
single taking. dose, without needing treatment
What would be the nurse's best response? over a period of time.
a."Tylenol and aspirin are chemically
the same drug."
b. "Tylenol is appropriate for only minor
pain."
c. "Tylenol does not help with
inflammatory discomfort."
d. "A therapeutic blood level must
be established with Tylenol."
