pharm (test 2) Pharmacology NRSG 106-02N Questions With Complete Solutions

For best results when treating severe pain associated with pathologic spinal fractures related to metastatic bone cancer, the nurse should remember that the best type of dosage schedule is to administer the pain medication a) as needed. b) around the clock. c) on schedule during waking hours only. d) around the clock, with additional doses as needed for breakthrough pain. correct answer: d) around the clock, with additional doses as needed for breakthrough pain. A patient is receiving an opioid via a PCA pump as part of his postoperative pain management program. During rounds, the nurse finds him unresponsive, with respirations of 8 breaths/min and blood pressure of 102/58 mm Hg. After stopping the opioid infusion, what should the nurse do next? a) Notify the charge nurse b) Administer oxygen c) Administer an opiate antagonist per standing orders d) Perform a thorough assessment, including mental status examination correct answer: c) Administer an opiate antagonist per standing orders A patient with bone pain caused by metastatic cancer will be receiving transdermal fentanyl patches. The patient asks the nurse what benefits these patches have. The nurse's best response includes which of the following features? a) More analgesia for longer time periods b) Less constipation and minimal dry mouth c) Less drowsiness than with oral opioids d) Lower dependency potential and no major adverse effects correct answer: c) Less drowsiness than with oral opioids The nurse suspects that a patient is showing signs of respiratory depression. Which drug could be the cause of this complication? a) naloxone (Narcan) b) hydromorphone (Dilaudid) c) acetaminophen (Tylenol) d) ziconotide (Prialt) correct answer: b) hydromorphone (Dilaudid) Several patients have standard orders for acetaminophen as needed for pain. When the nurse reviews their histories and assessments, the nurse discovers that one of the patients has a contraindication to acetaminophen therapy. Which patient is the one who should receive an alternate medication? a) A patient who has a fever of 103.4° F (39.7° C) b) A patient admitted with a deep vein thrombosis c) A patient admitted with severe hepatitis d) A patient who had abdominal surgery 1 week earlier correct answer: c) A patient admitted with severe hepatitis The nurse is administering an intravenous dose of morphine sulfate to a 48-year-old postoperative patient. The dose ordered is 3 mg every 3 hours as needed for pain. The medication is supplied in vials of 4 mg/mL. How much will be drawn into the syringe for this dose? correct answer: 0.75 mL A patient has been admitted to the emergency department because of an overdose of an oral benzodiazepine. He is very drowsy but still responsive. The nurse should prepare for which immediate intervention? a) Hemodialysis to remove the medication b) Administration of flumazenil c) Administration of naloxone d) Intubation and mechanical ventilation correct answer: b) Administration of flumazenil An older adult has been given a benzodiazepine for sleep induction, but the night nurse noted that the patient was awake most of the night, watching television and reading in bed. This type of reaction is known as