NR293 EXAM 2: Lilley, Pharm.; End of
Chapter Questions And All Correct
Answers .
For best 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: - Answer 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? - Answer
Administer an opiate antagonist per standing orders
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? - Answer 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.) - Answer
constipation
pruritus
nausea
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 alternate medication? - Answer A patient
admitted with severe hepatitis
An opioid analgesic is prescribed for a patient. The nurse checks the patient's medical history knowing
this medication is contraindicated in which disorder? - Answer Severe asthma
, A patient with renal cancer needs an opiate for pain control. Which opioid medication would be the
safest choice for this patient? - Answer methadone (Dolophine)
During a patient's recovery from a lengthy surgery, the nurse monitors for signs of malignant
hyperthermia. In addition to a rapid rise in body temperature, which assessment findings would indicate
the possible presence of this condition? (Select all that apply.) - Answer tachypnea
tachycardia
muscle rigidity
The nurse is administering an NMBD to a patient during a surgical procedure. Number the phases of
muscle paralysis in the order in which the patient will experience them. - Answer 1. muscle weakness
2. paralysis of small rapidly moving muscles, like the fingers and eyes
3. paralysis of muscles of the limbs, neck, and trunk
4. paralysis of intercostals and diaphragm muscles
A patient is about to undergo cardioversion, and the nurse is reviewing the procedure and explaining
moderate sedation with propofol. The patient asks, "I am afraid of feeling it when they shock me." What
is the nurse's best response? - Answer "These medications will help ease any pain during the
procedure, and many patients often report having no recollection of the procedure."
A patient is recovering from general anesthesia. What is the nurse's main concern during the immediate
postoperative period? - Answer Airway
Which nursing diagnosis is possible for a patient who is now recovering after having been under general
anesthesia for 3 to 4 hours during surgery? - Answer Impaired gas exchange due to the CNS depressant
effect of general anesthesia
The surgical nurse is reviewing operative cases scheduled for the day. Which of these patients is more
prone to complications from general anesthesia? - Answer A 79-year-old woman who is about to have
hip replacement surgery
The physician has requested "lidocaine with epinephrine." The nurse recognizes that the most important
reason for adding epinephrine is that it - Answer reduces bleeding in the surgical area
Chapter Questions And All Correct
Answers .
For best 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: - Answer 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? - Answer
Administer an opiate antagonist per standing orders
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? - Answer 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.) - Answer
constipation
pruritus
nausea
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 alternate medication? - Answer A patient
admitted with severe hepatitis
An opioid analgesic is prescribed for a patient. The nurse checks the patient's medical history knowing
this medication is contraindicated in which disorder? - Answer Severe asthma
, A patient with renal cancer needs an opiate for pain control. Which opioid medication would be the
safest choice for this patient? - Answer methadone (Dolophine)
During a patient's recovery from a lengthy surgery, the nurse monitors for signs of malignant
hyperthermia. In addition to a rapid rise in body temperature, which assessment findings would indicate
the possible presence of this condition? (Select all that apply.) - Answer tachypnea
tachycardia
muscle rigidity
The nurse is administering an NMBD to a patient during a surgical procedure. Number the phases of
muscle paralysis in the order in which the patient will experience them. - Answer 1. muscle weakness
2. paralysis of small rapidly moving muscles, like the fingers and eyes
3. paralysis of muscles of the limbs, neck, and trunk
4. paralysis of intercostals and diaphragm muscles
A patient is about to undergo cardioversion, and the nurse is reviewing the procedure and explaining
moderate sedation with propofol. The patient asks, "I am afraid of feeling it when they shock me." What
is the nurse's best response? - Answer "These medications will help ease any pain during the
procedure, and many patients often report having no recollection of the procedure."
A patient is recovering from general anesthesia. What is the nurse's main concern during the immediate
postoperative period? - Answer Airway
Which nursing diagnosis is possible for a patient who is now recovering after having been under general
anesthesia for 3 to 4 hours during surgery? - Answer Impaired gas exchange due to the CNS depressant
effect of general anesthesia
The surgical nurse is reviewing operative cases scheduled for the day. Which of these patients is more
prone to complications from general anesthesia? - Answer A 79-year-old woman who is about to have
hip replacement surgery
The physician has requested "lidocaine with epinephrine." The nurse recognizes that the most important
reason for adding epinephrine is that it - Answer reduces bleeding in the surgical area
