Pharmacology Exam #5
The nurse encourages a patient to change the patient's OTC pain medication of choice
from aspirin to ibuprofen. Which supporting evidence does the nurse provide to the
patient regarding the proposed change? correct answers Aspirin is associated with
more gastric bleeding than ibuprofen
For which type of pain is a fentanyl transdermal patch best suited? correct answers
Severe pain resulting from cancer metastasis
Which test would the nurse anticipate for the HCP to order for a patient who has been
taking high doses of acetaminophen over the course of several days? correct answers
Liver function test
When assessing a patient for adverse effects of morphine sulfate, which finding would
the nurse expect? correct answers Dowsiness
Which medication would the nurse anticipate incorporating into the plan of care for a
postoperative patient who received fentanyl and subsequently developed respiratory
depression? correct answers Naxolone hydrochloride
Which medication would support a patient's recovery efforts for treatment of a narcotic
addiction? correct answers Methadone
Which discharge teaching would the nurse provide to a patient who is taking morphine
for postoperative pain? correct answers Take a stool softener
Increase fluid intake throughout the day
Which laboratory level would the nurse monitor for in a patient who is receiving
acetaminophen therapy? correct answers Bilirubin
Alkaline phosphatase (ALP)
Alanine aminotransferase (ALT)
Which characteristic feature is indicative of cluster headaches? correct answers Pain is
usually located around the eyes.
Which condition is a contraindication for the administration of opioid analgesics?
correct answers Status asthmaticus
Which adverse effect associated with excessive doses of acetaminophen is likely to be
found in a patient? correct answers Nausea
Vomiting
Hepatotoxicity
, Which sign or symptom is indicative of salicylate toxicity? correct answers Vertigo
Tinnitus
Hyperventilation
Which medication class includes adjuvant analgesic medications? correct answers
Corticosteroids
Anticonvulsants
Antidepressants
Antidysrhythmics
Local anesthetics
Which drug is an opioid agonist-antagonist? correct answers Butorphanol
Nalbuphine
Buprenorphine
Which narcotic is the drug of choice for pain relief during childbirth? correct answers
Meperidine
While admitting a patient for treatment of an acetaminophen overdose, the nurse would
anticipate the administration of which medication to prevent toxicity? correct answers
Acetylcysteine
Which assessment parameter is most important for the nurse to evaluate when
determining safe dosing of morphine sulfate for the management of pain in a patient
with a terminal cancer diagnosis? correct answers Respiratory rate
The nurse is teaching a student nurse about the benefits of the use of hydromorphone
therapy over morphine sulfate. Which benefit identified by the student indicates teaching
was effective? correct answers Hydromorphone has a faster onset of action.
Hydromorphone has a shorter duration of action.
The analgesic effect of hydromorphone is six times more potent.
The nurse identifies which of the following as a common side effect/adverse effect of
morphine therapy? correct answers Urinary retention
A patient received morphine sulfate for severe pain. The nurse assesses the patient 20
minutes later. What is the best indication that the medication has been effective?
correct answers Patient verbalizes pain relief.
The next day, the patient's pain medication is changed from morphine sulfate to
hydromorphone. Which statement regarding hydromorphone does the nurse identify as
being true? correct answers Hydromorphone is more potent than morphine
The nurse encourages a patient to change the patient's OTC pain medication of choice
from aspirin to ibuprofen. Which supporting evidence does the nurse provide to the
patient regarding the proposed change? correct answers Aspirin is associated with
more gastric bleeding than ibuprofen
For which type of pain is a fentanyl transdermal patch best suited? correct answers
Severe pain resulting from cancer metastasis
Which test would the nurse anticipate for the HCP to order for a patient who has been
taking high doses of acetaminophen over the course of several days? correct answers
Liver function test
When assessing a patient for adverse effects of morphine sulfate, which finding would
the nurse expect? correct answers Dowsiness
Which medication would the nurse anticipate incorporating into the plan of care for a
postoperative patient who received fentanyl and subsequently developed respiratory
depression? correct answers Naxolone hydrochloride
Which medication would support a patient's recovery efforts for treatment of a narcotic
addiction? correct answers Methadone
Which discharge teaching would the nurse provide to a patient who is taking morphine
for postoperative pain? correct answers Take a stool softener
Increase fluid intake throughout the day
Which laboratory level would the nurse monitor for in a patient who is receiving
acetaminophen therapy? correct answers Bilirubin
Alkaline phosphatase (ALP)
Alanine aminotransferase (ALT)
Which characteristic feature is indicative of cluster headaches? correct answers Pain is
usually located around the eyes.
Which condition is a contraindication for the administration of opioid analgesics?
correct answers Status asthmaticus
Which adverse effect associated with excessive doses of acetaminophen is likely to be
found in a patient? correct answers Nausea
Vomiting
Hepatotoxicity
, Which sign or symptom is indicative of salicylate toxicity? correct answers Vertigo
Tinnitus
Hyperventilation
Which medication class includes adjuvant analgesic medications? correct answers
Corticosteroids
Anticonvulsants
Antidepressants
Antidysrhythmics
Local anesthetics
Which drug is an opioid agonist-antagonist? correct answers Butorphanol
Nalbuphine
Buprenorphine
Which narcotic is the drug of choice for pain relief during childbirth? correct answers
Meperidine
While admitting a patient for treatment of an acetaminophen overdose, the nurse would
anticipate the administration of which medication to prevent toxicity? correct answers
Acetylcysteine
Which assessment parameter is most important for the nurse to evaluate when
determining safe dosing of morphine sulfate for the management of pain in a patient
with a terminal cancer diagnosis? correct answers Respiratory rate
The nurse is teaching a student nurse about the benefits of the use of hydromorphone
therapy over morphine sulfate. Which benefit identified by the student indicates teaching
was effective? correct answers Hydromorphone has a faster onset of action.
Hydromorphone has a shorter duration of action.
The analgesic effect of hydromorphone is six times more potent.
The nurse identifies which of the following as a common side effect/adverse effect of
morphine therapy? correct answers Urinary retention
A patient received morphine sulfate for severe pain. The nurse assesses the patient 20
minutes later. What is the best indication that the medication has been effective?
correct answers Patient verbalizes pain relief.
The next day, the patient's pain medication is changed from morphine sulfate to
hydromorphone. Which statement regarding hydromorphone does the nurse identify as
being true? correct answers Hydromorphone is more potent than morphine
