CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA n n n n n n n n n
M QUESTIONS AND ANSWERS BEST RATED A+ LATEST UPDATE 20
n n n n n n n n n
22
Chapter 10: Analgesic Drugs n n n
• A 38-year- n
old man has come into the urgent care center with severe hip pain after falling fro
n n n n n n n n n n n n n n n
m a ladder at work. He says he has taken several pain pills over the past few hours
n n n n n n n n n n n n n n n n n n
but cannot remember how many he has taken. He hands the nurse an empty bottl
n n n n n n n n n n n n n n
e of acetaminophen (Tylenol). The nurse is aware that the most serious toxic effect
n n n n n n n n n n n n n
nofacute acetaminophen overdose is which condition?
n n n n n n
a. Tachycardia
b. Central nervous system depression
n n n
c. Hepatic necrosis n
d. Nephropathy
ANS: C n
Hepatic necrosis is the most serious acute toxic effect of an acute overdose of aceta
n n n n n n n n n n n n n n
minophen. The other options areincorrect. n n n n n
• A 57-year-old woman being treated for end-
n n n n n n
stage breast cancer has been using a transdermal opioid analgesic as part of the m
n n n n n n n n n n n n n n
anagement of pain. Lately, she has been experiencing breakthrough pain. The nurs
n n n n n n n n n n n
e expects this type ofpain to be managed by
n n n n n n n n n
CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA n n n n n n n n n
M QUESTIONS AND ANSWERS BEST RATED A+ LATEST UPDATE 20
n n n n n n n n n
22
,CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA
n n n n n n n n n
M QUESTIONS AND ANSWERS BEST RATED A+ LATEST UPDATE 20
n n n n n n n n n
22
a. administering NSAIDs.
n
b. administering an immediate-release opioid.
n n n
CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA
n n n n n n n n n
M QUESTIONS AND ANSWERS BEST RATED A+ LATEST UPDATE 20
n n n n n n n n n
22
,CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA n n n n n n n n n
M QUESTIONS AND ANSWERS BEST RATED A+ LATEST UPDATE 20
n n n n n n n n n
22
c. changing the opioid route to the rectal route.
n n n n n n n
d. not changing the current therapy.
n n n n
ANS: B n
If a patient is taking long-
n n n n n
acting opioid analgesics, breakthrough pain must be treated with an immediate-
n n n n n n n n n n
release dosage form that is given between scheduled doses of the long-
n n n n n n n n n n n
acting opioid. The other options are not appropriateactions.
n n n n n n n n
• The nurse is reviewing herbal therapies. Which is a common use of the herb feverf
n n n n n n n n n n n n n n
ew?
a. Muscle aches n
b. Migraine headaches n
c. Leg cramps n
d. Incision pain after surgery
n n n
ANS: B n
CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA n n n n n n n n n
M QUESTIONS AND ANSWERS BEST RATED A+ LATEST UPDATE 20
n n n n n n n n n
22
, CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA n n n n n n n n n
M QUESTIONS AND ANSWERS BEST RATED A+ LATEST UPDATE 20
n n n n n n n n n
22
Feverfew is commonly used for migraine headaches, menstrual problems, arthritis,
n n n n n n n n n
and fever. Possible adverseeffects include muscle stiffness and muscle and joint p
n n n n n n n n n n n n n
ain.
• A patient is to receive acetylcysteine (Mucomyst) as part of the treatment f
n n n n n n n n n n n n
or an acetaminophen (Tylenol)overdose. Which action by the nurse is approp
n n n n n n n n n n n
riate when giving this medication?
n n n n
a. Giving the medication undiluted for full effect
n n n n n n
b. Avoiding the use of a straw when giving this medication
n n n n n n n n n
CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA n n n n n n n n n
M QUESTIONS AND ANSWERS BEST RATED A+ LATEST UPDATE 20
n n n n n n n n n
22
M QUESTIONS AND ANSWERS BEST RATED A+ LATEST UPDATE 20
n n n n n n n n n
22
Chapter 10: Analgesic Drugs n n n
• A 38-year- n
old man has come into the urgent care center with severe hip pain after falling fro
n n n n n n n n n n n n n n n
m a ladder at work. He says he has taken several pain pills over the past few hours
n n n n n n n n n n n n n n n n n n
but cannot remember how many he has taken. He hands the nurse an empty bottl
n n n n n n n n n n n n n n
e of acetaminophen (Tylenol). The nurse is aware that the most serious toxic effect
n n n n n n n n n n n n n
nofacute acetaminophen overdose is which condition?
n n n n n n
a. Tachycardia
b. Central nervous system depression
n n n
c. Hepatic necrosis n
d. Nephropathy
ANS: C n
Hepatic necrosis is the most serious acute toxic effect of an acute overdose of aceta
n n n n n n n n n n n n n n
minophen. The other options areincorrect. n n n n n
• A 57-year-old woman being treated for end-
n n n n n n
stage breast cancer has been using a transdermal opioid analgesic as part of the m
n n n n n n n n n n n n n n
anagement of pain. Lately, she has been experiencing breakthrough pain. The nurs
n n n n n n n n n n n
e expects this type ofpain to be managed by
n n n n n n n n n
CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA n n n n n n n n n
M QUESTIONS AND ANSWERS BEST RATED A+ LATEST UPDATE 20
n n n n n n n n n
22
,CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA
n n n n n n n n n
M QUESTIONS AND ANSWERS BEST RATED A+ LATEST UPDATE 20
n n n n n n n n n
22
a. administering NSAIDs.
n
b. administering an immediate-release opioid.
n n n
CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA
n n n n n n n n n
M QUESTIONS AND ANSWERS BEST RATED A+ LATEST UPDATE 20
n n n n n n n n n
22
,CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA n n n n n n n n n
M QUESTIONS AND ANSWERS BEST RATED A+ LATEST UPDATE 20
n n n n n n n n n
22
c. changing the opioid route to the rectal route.
n n n n n n n
d. not changing the current therapy.
n n n n
ANS: B n
If a patient is taking long-
n n n n n
acting opioid analgesics, breakthrough pain must be treated with an immediate-
n n n n n n n n n n
release dosage form that is given between scheduled doses of the long-
n n n n n n n n n n n
acting opioid. The other options are not appropriateactions.
n n n n n n n n
• The nurse is reviewing herbal therapies. Which is a common use of the herb feverf
n n n n n n n n n n n n n n
ew?
a. Muscle aches n
b. Migraine headaches n
c. Leg cramps n
d. Incision pain after surgery
n n n
ANS: B n
CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA n n n n n n n n n
M QUESTIONS AND ANSWERS BEST RATED A+ LATEST UPDATE 20
n n n n n n n n n
22
, CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA n n n n n n n n n
M QUESTIONS AND ANSWERS BEST RATED A+ LATEST UPDATE 20
n n n n n n n n n
22
Feverfew is commonly used for migraine headaches, menstrual problems, arthritis,
n n n n n n n n n
and fever. Possible adverseeffects include muscle stiffness and muscle and joint p
n n n n n n n n n n n n n
ain.
• A patient is to receive acetylcysteine (Mucomyst) as part of the treatment f
n n n n n n n n n n n n
or an acetaminophen (Tylenol)overdose. Which action by the nurse is approp
n n n n n n n n n n n
riate when giving this medication?
n n n n
a. Giving the medication undiluted for full effect
n n n n n n
b. Avoiding the use of a straw when giving this medication
n n n n n n n n n
CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA n n n n n n n n n
M QUESTIONS AND ANSWERS BEST RATED A+ LATEST UPDATE 20
n n n n n n n n n
22
