EXAM 4 :NSAIDS and ANALGESICS QUESTIONS WITH
COMPLETE SOLUTIONS
______ is common adverse effect and may be prevented with
adequate fluid and fiber intake Correct Answer Constipation
________ not recommended for long term use because of the
accumulation of a neurotoxic metabolite, normeperidine, which
can cause seizures. Correct Answer meperidine
2. A patient is receiving an opioid by 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. Draw arterial blood gases.
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.
3. A patient has a new order for clarithromycin, and the nurse is
reviewing the patient's current medication list. Which
medication or medication class may have an interaction with
clarithromycin? (Select all that apply.) Correct Answer a.
Warfarin
c. Simvastatin
d. Oral contraceptives
,3. 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 these features?
a. More constant drug levels for analgesia
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 a. More constant drug levels for analgesia
4. Intravenous morphine is prescribed for a patient who has had
surgery. The nurse informs the patient that which common
adverse effects can occur with this medication? (Select all that
apply.)
a. Diarrhea
b. Constipation
c. Pruritus
d. Urinary frequency
e. Nausea Correct Answer b. Constipation
c. Pruritus
e. Nausea
5. Several patients have standard orders for acetaminophen as
needed for pain. While reviewing their histories and
assessments, the nurse discovers that one of the patients has a
contraindication to acetaminophen therapy. Which patient
should receive an alternative medication?
a. A patient with a fever of 103.4° F (39.7° C)
b. A patient admitted with 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
6. 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
7. An opioid analgesic is prescribed for a patient. The nurse
checks the patient's medical history knowing this medication is
contraindicated in which disorder? (Select all that apply.)
a. Renal insufficiency
b. Severe asthma
c. Sleep apnea
d. Severe head injury
e. Liver disease Correct Answer b. Severe asthma
c. Sleep apnea
d. Severe head injury
8. A patient with renal cancer needs an opiate for pain control.
Which opioid medication would be the safest choice for this
patient?
a. fentanyl
b. hydromorphone (Dilaudid)
c. morphine sulfate
d. methadone (Dolophine) Correct Answer d. methadone
(Dolophine)
A 5-year-old patient has been diagnosed with malaria after
returning from an overseas trip. The patient is to receive one
, dose of mefloquine, 25 mg/kg PO. The child weighs 44 lb. How
much mefloquine will this child receive? Correct Answer 500
mg
A client in the ICU who sustained a traumatic abdominal injury
1 week ago continues to complain of severe pain. The nurse
notes his vital signs are normal. Which of the following would
be appropriate for the nurse to do?
a.) Encourage early return to ambulation.
b.) Offer nonnarcotic analgesics for pain.
c.) Utilize distraction
d.) Provide the client with pain medication. Correct Answer
D.) Provide the client with pain medication.
A client who incurred an arm injury describes his pain as "sharp
and localized to the lower arm." The nurse recognizes that this
type of pain would be relieved best by administration of which
type of medication? (Select all that apply) Correct Answer c.)
Narcotic analgesics
d.) NSAIDs
A nurse administers naloxone (Narcan) to a postoperative
patient experiencing respiratory sedation. What undesirable
effect would the nurse anticipate after giving this medication?
Correct Answer C) Increased pain
A nurse is caring for a cancer patient receiving subcutaneous
morphine sulfate for pain. Which of the following nursing
COMPLETE SOLUTIONS
______ is common adverse effect and may be prevented with
adequate fluid and fiber intake Correct Answer Constipation
________ not recommended for long term use because of the
accumulation of a neurotoxic metabolite, normeperidine, which
can cause seizures. Correct Answer meperidine
2. A patient is receiving an opioid by 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. Draw arterial blood gases.
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.
3. A patient has a new order for clarithromycin, and the nurse is
reviewing the patient's current medication list. Which
medication or medication class may have an interaction with
clarithromycin? (Select all that apply.) Correct Answer a.
Warfarin
c. Simvastatin
d. Oral contraceptives
,3. 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 these features?
a. More constant drug levels for analgesia
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 a. More constant drug levels for analgesia
4. Intravenous morphine is prescribed for a patient who has had
surgery. The nurse informs the patient that which common
adverse effects can occur with this medication? (Select all that
apply.)
a. Diarrhea
b. Constipation
c. Pruritus
d. Urinary frequency
e. Nausea Correct Answer b. Constipation
c. Pruritus
e. Nausea
5. Several patients have standard orders for acetaminophen as
needed for pain. While reviewing their histories and
assessments, the nurse discovers that one of the patients has a
contraindication to acetaminophen therapy. Which patient
should receive an alternative medication?
a. A patient with a fever of 103.4° F (39.7° C)
b. A patient admitted with 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
6. 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
7. An opioid analgesic is prescribed for a patient. The nurse
checks the patient's medical history knowing this medication is
contraindicated in which disorder? (Select all that apply.)
a. Renal insufficiency
b. Severe asthma
c. Sleep apnea
d. Severe head injury
e. Liver disease Correct Answer b. Severe asthma
c. Sleep apnea
d. Severe head injury
8. A patient with renal cancer needs an opiate for pain control.
Which opioid medication would be the safest choice for this
patient?
a. fentanyl
b. hydromorphone (Dilaudid)
c. morphine sulfate
d. methadone (Dolophine) Correct Answer d. methadone
(Dolophine)
A 5-year-old patient has been diagnosed with malaria after
returning from an overseas trip. The patient is to receive one
, dose of mefloquine, 25 mg/kg PO. The child weighs 44 lb. How
much mefloquine will this child receive? Correct Answer 500
mg
A client in the ICU who sustained a traumatic abdominal injury
1 week ago continues to complain of severe pain. The nurse
notes his vital signs are normal. Which of the following would
be appropriate for the nurse to do?
a.) Encourage early return to ambulation.
b.) Offer nonnarcotic analgesics for pain.
c.) Utilize distraction
d.) Provide the client with pain medication. Correct Answer
D.) Provide the client with pain medication.
A client who incurred an arm injury describes his pain as "sharp
and localized to the lower arm." The nurse recognizes that this
type of pain would be relieved best by administration of which
type of medication? (Select all that apply) Correct Answer c.)
Narcotic analgesics
d.) NSAIDs
A nurse administers naloxone (Narcan) to a postoperative
patient experiencing respiratory sedation. What undesirable
effect would the nurse anticipate after giving this medication?
Correct Answer C) Increased pain
A nurse is caring for a cancer patient receiving subcutaneous
morphine sulfate for pain. Which of the following nursing
