Pharmacology and The Nursing
Process-Chapter questions
Chapter 10
The nurse is about to administer 5 mg of morphine sulfate intravenously to a patient with severe
postoperative pain, as ordered. What priority assessment data must be gathered before and after
administering this drug? - ANSExplain your answer
A young woman is brought by ambulance to the emergency department because she was found
unconscious next to an empty bottle of acetaminophen. While the medical team assesses her, the nurse
goes to question the family about the situation. What is the most important piece of information to
know about this possible overdose? - ANSExplain your answer
For the results when treating severe pain associated with pathologic spinal fractures related to
metastatic bone cancer, the nurse should remember that the best type of dosage schedule is to
administer the pain medication is which of these?
a. As needed
b. Around the clock
C. On schedule during waking hours only
D.Around the clock, with additional doses as needed for
breakthrough pain - ANSD.Around the clock, with additional doses as needed for
breakthrough pain
A patient is receiving an opioid via 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. - ANSc.Administer an opiate antagonist per standing oders.
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 affects - ANSa.More constant drug levels for
analgesia
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 - ANSc. Pruritus
b. Constipation
e. Nausea
Several patients have standard orders for acetaminophen as
needed for pain. While reviewing their histories and assess-
ments, the nurse discovers that one of the patients has a
contraindication to acetaminophen therapy. Which patient
should receive an alternate 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 - ANSc.A patient admitted with severe hepatitis
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? - ANS0.75ML
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 - ANSb.Severe asthma
c. Sleep apnea
d. Severe head injury
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) - ANSd. methadone (Dolophine)
Process-Chapter questions
Chapter 10
The nurse is about to administer 5 mg of morphine sulfate intravenously to a patient with severe
postoperative pain, as ordered. What priority assessment data must be gathered before and after
administering this drug? - ANSExplain your answer
A young woman is brought by ambulance to the emergency department because she was found
unconscious next to an empty bottle of acetaminophen. While the medical team assesses her, the nurse
goes to question the family about the situation. What is the most important piece of information to
know about this possible overdose? - ANSExplain your answer
For the results when treating severe pain associated with pathologic spinal fractures related to
metastatic bone cancer, the nurse should remember that the best type of dosage schedule is to
administer the pain medication is which of these?
a. As needed
b. Around the clock
C. On schedule during waking hours only
D.Around the clock, with additional doses as needed for
breakthrough pain - ANSD.Around the clock, with additional doses as needed for
breakthrough pain
A patient is receiving an opioid via 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. - ANSc.Administer an opiate antagonist per standing oders.
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 affects - ANSa.More constant drug levels for
analgesia
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 - ANSc. Pruritus
b. Constipation
e. Nausea
Several patients have standard orders for acetaminophen as
needed for pain. While reviewing their histories and assess-
ments, the nurse discovers that one of the patients has a
contraindication to acetaminophen therapy. Which patient
should receive an alternate 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 - ANSc.A patient admitted with severe hepatitis
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? - ANS0.75ML
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 - ANSb.Severe asthma
c. Sleep apnea
d. Severe head injury
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) - ANSd. methadone (Dolophine)
