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NURS 316B ANALGESIC QUESTIONS WITH COMPLETE ANSWERS

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NURS 316B ANALGESIC QUESTIONS WITH COMPLETE ANSWERS

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The client with chronic arterial insufficiency of the legs refuses the prescribed dose of
aspirin (ASA). The client states, 'My legs are not painful.' Which action will the nurse
take?
A. Explain the reason for the medication and encourage the client to take it.
B. Withhold the medication at this time and return to check with the client again in 30
minutes.
C. Withhold the medication and tell the client to ask for it if the legs become
uncomfortable.
D. Request that the client take the medication and explain that it prevents the client
from being uncomfortable in the next few hours.


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A. Explain the reason for the medication and encourage the client to take it.




A client receiving morphine is being monitored by the nurse for adverse effects of the
medication. Which clinical findings warrant immediate follow up by the nurse? Select

,all that apply. One, some, or all responses may be correct.
A. Polyuria
B. Unconsciousness
C. Bradycardia
D. Dilated pupils
E. Bradypnea


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B. Unconsciousness
C. Bradycardia
E. Bradypnea




A client who takes four 325-mg tablets of buffered aspirin four times a day for severe
arthritis complains of dizziness and ringing in the ears. Which complication would the
nurse conclude that the client probably is experiencing?
A. Salicylate (chemical of aspirin) toxicity
B. Allergic reaction
C. Withdrawal symptoms
D. Aspirin tolerance


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A. Salicylate (chemical of aspirin) toxicity




A client who had a myocardial infarction receives 15 mg of morphine sulfate for chest
pain. Fifteen minutes after receiving the medication, the client complains of feeling
dizzy. Which action will the nurse take?
A. Determine if this is an allergic reaction.
B. Elevate the client's head and keep the extremities warm.
C. Place the client in the supine position and take the vital signs.
D. Tell the client that this is not a typical sensation after receiving morphine sulfate.

,Give this one a try later!


C. Place the client in the supine position and take the vital signs.




1) Which medication will the nurse question when it is prescribed for a client with
acute pancreatitis?
A. Ranitidine
B. Cimetidine
C. Meperidine
D. Promethazine


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C. Meperidine




The nurse is assessing a client who is taking prescribed opioids for pain. Which finding
should indicate to the nurse that the client is having a side effect of the medication?
A. Decreased skin turgor
B. No bowel movement for four days
C. Hypertension
D. Increased respiratory effort


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B. No bowel movement for four days




A client receives intrathecal morphine to control severe postoperative pain. Which
action will the nurse include as part of the client's initial 24-hour postoperative care
plan?

, A. Monitoring of respiratory rate hourly
B. Assessing the client for tachycardia
C. Administering naloxone every 3 to 4 hours
D. Observing the client for signs of central nervous system (CNS) excitement


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A. Monitoring of respiratory rate hourly




A client has increased intracranial pressure and is unconscious with a heart rate of 60
beats/min, respirations 16 breaths/min, and blood pressure 142/64 mm Hg. The nurse
reviews the treatment plan and questions which regularly scheduled drug?
A. Mannitol
B. Dexamethasone
C. Chlorpromazine
D. Morphine


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D. Morphine




The nurse is caring for a post-surgical client who is using patient-controlled analgesia
(PCA) with morphine for pain management. The client reports that the pain is severe
and does not get better, even after "pushing the PCA button". Place each step in the
correct order by entering the numbers in order. Only enter numbers, no spaces or
commas.
1. Consult with the health care provider
2. Check the MAR for adjuvant medications prescribed
3. Verify that the client is using the PCA equipment correctly
4. Confirm that the pump is working and the tubing is patent
5. Offer non-pharmacological interventions


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