Chapter 12: Drugs for Pain Management Visovsky: Introduction to Clinical Pharmacology,latest 10th Edition

1. Some analgesics are considered to be strong opioid agonists. Indicate which of the following analgesics are considered strong opioid agonists. (Select all that apply.) a. Codeine b. Fentanyl c. Hydrocodone d. Hydromorphone e. Morphine f. Oxycodone - correct answers ANS: B, D, E 1. What types of drugs have the main purpose of relieving pain? a. Anticholinergics b. Antagonists c. Analgesics d. Agonists - correct answers ANS: C 10. A patient with chronic arthritis pain reports taking acetaminophen 4 to 6 g/day for arthritis pain. Which health problem should you teach this patient that can occur as a result of taking this acetaminophen therapy? a. "Chronic acetaminophen use can invoke asthma attacks." b. "Diabetes is a complication that can result from long-term acetaminophen use." c. "Liver toxicity can result as a result of high acetaminophen doses." d. "The use and overuse of acetaminophen can result in excessive bleeding." - correct answers ANS: C 11. The postoperative orders for an adult patient who has just arrived on your unit after major abdominal surgery reads morphine 15mg IM every 4 to 6 hours as needed for pain. What is the best schedule for pain relief during the first postoperative day for this patient? a. Ask the patient every 4 to 6 hours whether any drug for pain is needed. b. Give the drug automatically every 4 hours around the clock for the 24 hours. c. Give the drug automatically every 6 hours around the clock for the first 24 hours. d. Wait until the patient rates the pain at an 8 or higher on a 0 to 10 pain rating scale before giving any dose of the prescribed drug. - correct answers ANS: B 12. Which of the following assessments is most important to perform on a patient newly prescribed to take cyclobenzaprine for severe muscle pain? a. Respiratory rate b. Deep tendon reflexes c. Blood pressure and heart rate d. Muscle strength and coordination - correct answers ANS: C