N320 Exam 1 Blueprint & Study Guide Questions With
Complete Solutions
How long can neuropathic pain last?
It can be perceived long after the initial injury has healed.
How does neuropathic pain feel?
Often described as burning, shooting, or electric shock-like pain.
What kind of medications are typically used to treat neuropathic
pain?
Antidepressants (like Elavil) and anticonvulsants. long acting
medications
A 52-year-old patient reports persistent burning and shooting
pain that radiates down their leg from the lower back. They say
the pain started months ago after a herniated disc injury and
continues even though the injury has mostly healed. The patient
describes the pain as sharp, electric, and sometimes numbness or
tingling accompanies it.
Neuropathic pain
What is referred pain?
Pain that is caused by one part of the body but felt in a different
area.
What is a common example of referred pain?
Pain from a heart attack felt in the jaw, left shoulder, or back.
,A 60-year-old man arrives at the emergency department
complaining of severe pain in his left shoulder and jaw. He
denies any injury to these areas. He also reports chest discomfort
and shortness of breath.
Referred pain
For acute pain, such as pain from a heart attack with referred
pain, should you give short-acting or long-acting pain
medication?
Short-acting pain medication, because it works quickly to
relieve sudden pain.
which opioid is the most potent and is dosed in micrograms
fentanyl
What is a unique side effect of fentanyl that the nurse would nee
to look out for
muscle rigidity (stiff muscles, difficulty moving)
which form of fentanyl is best used for breakthrough pain in
cancer patients
Transmucosal fentanyl
how long does it take for a fentanyl transdermal patch to become
effective
24 hrs
, Why must heat be avoided when a patient is using a fentanyl
patch
heat speeds up the release of fentanyl, increasing the risk of
overdose
arrange these opioids in order of potency form highest to lowest:
morphine, dilaudid, Fentanyl
Fentanyl > dilaudid > morphine
What is a huge side effect with morphine
RESPIRATORY DEPRESSION
A patient with chronic pain is opioid tolerant and needs steady
pain control What pain med should be given
Transdermal fentanyl patch
Patient-controlled analgesia (PCA) teaching
ONLY patient can push button
a patient receiving morphine IV reports itching. What is the
appropriate nursing intervention
Give an antihistamine
a patient on opioids is experiencing nausea. What type of
medication should the nurse administer
antiemetic
which non-pharmacologic measures can help reduce opioid-
induced constipation
increasing movement, fluids, fiber
Complete Solutions
How long can neuropathic pain last?
It can be perceived long after the initial injury has healed.
How does neuropathic pain feel?
Often described as burning, shooting, or electric shock-like pain.
What kind of medications are typically used to treat neuropathic
pain?
Antidepressants (like Elavil) and anticonvulsants. long acting
medications
A 52-year-old patient reports persistent burning and shooting
pain that radiates down their leg from the lower back. They say
the pain started months ago after a herniated disc injury and
continues even though the injury has mostly healed. The patient
describes the pain as sharp, electric, and sometimes numbness or
tingling accompanies it.
Neuropathic pain
What is referred pain?
Pain that is caused by one part of the body but felt in a different
area.
What is a common example of referred pain?
Pain from a heart attack felt in the jaw, left shoulder, or back.
,A 60-year-old man arrives at the emergency department
complaining of severe pain in his left shoulder and jaw. He
denies any injury to these areas. He also reports chest discomfort
and shortness of breath.
Referred pain
For acute pain, such as pain from a heart attack with referred
pain, should you give short-acting or long-acting pain
medication?
Short-acting pain medication, because it works quickly to
relieve sudden pain.
which opioid is the most potent and is dosed in micrograms
fentanyl
What is a unique side effect of fentanyl that the nurse would nee
to look out for
muscle rigidity (stiff muscles, difficulty moving)
which form of fentanyl is best used for breakthrough pain in
cancer patients
Transmucosal fentanyl
how long does it take for a fentanyl transdermal patch to become
effective
24 hrs
, Why must heat be avoided when a patient is using a fentanyl
patch
heat speeds up the release of fentanyl, increasing the risk of
overdose
arrange these opioids in order of potency form highest to lowest:
morphine, dilaudid, Fentanyl
Fentanyl > dilaudid > morphine
What is a huge side effect with morphine
RESPIRATORY DEPRESSION
A patient with chronic pain is opioid tolerant and needs steady
pain control What pain med should be given
Transdermal fentanyl patch
Patient-controlled analgesia (PCA) teaching
ONLY patient can push button
a patient receiving morphine IV reports itching. What is the
appropriate nursing intervention
Give an antihistamine
a patient on opioids is experiencing nausea. What type of
medication should the nurse administer
antiemetic
which non-pharmacologic measures can help reduce opioid-
induced constipation
increasing movement, fluids, fiber
