SOLUTIONS
Which clinical manifestation should the nurse attribute to adverse effects of morphine sulfate
administered via PCA?
Diarrhea
Urinary incontinence
Nausea and vomiting
increased blood pressure CORRECT ANS-Nausea and vomiting
Morphine sulfate promotes nausea and vomiting by directly stimulating the chemoreceptor
trigger zone in the medulla. Other common side effects include constipation, sedation,
respiratory depression, decreased blood pressure, and pruritus.
Which statement describes referred pain
painful response to normal innocuous stimuli
pain arises from skin and mucous membranes
, EXAM: EAQ PAIN EXAM WITH COMPLETE
SOLUTIONS
prolonged pain after the original noxious stimuli ends
pain perceived at a different location than noxious stimuli CORRECT ANS-pain perceived at
a different location than noxious stimuli
Which brain structure is responsible for localization and characteristic of pain
limbic system
cortical system
somatosensory system
reticular activation system CORRECT ANS-somatosensory system
which assessment is of highest priority for the nurse to complete before administration of
morphine
, EXAM: EAQ PAIN EXAM WITH COMPLETE
SOLUTIONS
pain rating
BP
respiratory rate
LOC CORRECT ANS-respiratory rate
RR below 12 breaths/min= sign of opioid toxicity
A patient who has a history of opioid abuse has been admitted following an appendectomy.
The health care provider prescribed a narcotic analgesic for pain. which action would the
nurse take?
avoid medicating the pain to prevent re addiction
, EXAM: EAQ PAIN EXAM WITH COMPLETE
SOLUTIONS
be sure the patient is really in pain before giving meds
conduct an assessment and manage the patient's reported pain
observed for objective signs of pain before administering medication CORRECT ANS-
conduct an assessment and manage the patient's reported pain
pain is subjective- patient's report of pain
which pain dimension is a patient with anxiety and anger demonstrating
affective
cognitive
behavioral