DETAILED PHARMACOLOGY CHAPTER 18 QUESTIONS AND ANSWERS

DETAILED PHARMACOLOGY CHAPTER 18 QUESTIONS AND ANSWERS 1.) The nurse teaches the client relaxation techniques and guided imagery as an adjunct to medication for treatment of pain. What is the main rationale for the use of these techniques as an adjunct to analgesic medication? A They are less costly techniques B They may allow lower doses of drugs with fewer adverse effects C They can be used at home D They do not require self-injection - CORRECT ANSWER -B Rationale: When used concurrently with medication, non-pharmacologic techniques may allow for lower doses and possibly fewer drug-related adverse effects. 2.) The emergency department nurse is caring for a client with a migraine headache. Which drug would the nurse anticipate administering to abort the clients migraine attack? A Morphine B Propranolol (Inderal) C Ibuprofen (Motrin) D Sumatriptan (Imitrex) - CORRECT ANSWER -D Rationale: Triptans such as sumatriptan (Imitrex) are used to abort a migraine attacks. Other narcotics are not effective in aborting a migraine. 3.) A client admitted with hepatitis B is prescribed hydrocodone with (APAP) acetaminophen (Vicodin) 2 tablets for pain. What is the most appropriate action for the nurse to take? A Administer the drug as ordered B Administer one tablet only C Recheck the order with the health care provider D Hold the drug until the health care provider arrives - CORRECT ANSWER -C Rationale: Hydrocodone with acetaminophen (Vicodin) contains acetaminophen, which can be hepatotoxic. The patient having hepatitis B may affect the metabolism of the drug. 4.) The nurse administers morphine sulfate 4 mg IV to a client for treatment of severe pain. Which of the following assessments require immediate nursing interventions? (Select all that apply) A The clients blood pressure is 110/70 B The client is drowsy C The clients pain is unrelieved in 15 minutes D The clients respiratory rate is 10 breaths per minute E The clients becomes unresponsive - CORRECT ANSWER -C, D, E