DETAILED PHARMACOLOGY
CHAPTER 18 QUESTIONS AND
ANSWERS
1.) The nurse teaches the client relaxation techniques and guided imagery as an adjunct to medication
for treatment of pain. What is the main rationale for the use of these techniques as an adjunct to
analgesic medication?
A They are less costly techniques
B They may allow lower doses of drugs with fewer adverse effects
C They can be used at home
D They do not require self-injection - CORRECT ANSWER -B
Rationale: When used concurrently with medication, non-pharmacologic techniques may allow nnfor
nnlowernndoses nnand nnpossibly nnfewer nndrug-related nnadverse nneffects.
2.) nnThe nnemergency nndepartment nnnurse nnis nncaring nnfor nna nnclient nnwith nna nnmigraine
nnheadache. nnWhich nndrug nnwouldnnthe nnnurse nnanticipate nnadministering nnto nnabort nnthe nnclients
nnmigraine nnattack?
A nnMorphine
B nnPropranolol
nn(Inderal)nnC
nnIbuprofen nn(Motrin)
,D nnSumatriptan nn(Imitrex) nn- nnCORRECT nnANSWER nn-D
Rationale: nnTriptans nnsuch nnas nnsumatriptan nn(Imitrex) nnare nnused nnto nnabort nna nnmigraine
nnattacks. nnOther nnnarcoticsnnare nnnot nneffective nnin nnaborting nna nnmigraine.
3.) nnA nnclient nnadmitted nnwith nnhepatitis nnB nnis nnprescribed nnhydrocodone nnwith nn(APAP)
nnacetaminophen nn(Vicodin) nn2nntablets nnfor nnpain. nnWhat nnis nnthe nnmost nnappropriate nnaction
nnfor nnthe nnnurse nnto nntake?
A nnAdminister nnthe nndrug nnas
nnorderednnB nnAdminister nnone
nntablet nnonly
C nnRecheck nnthe nnorder nnwith nnthe nnhealth nncare nnprovider
D nnHold nnthe nndrug nnuntil nnthe nnhealth nncare nnprovider nnarrives nn- nnCORRECT nnANSWER nn-C
Rationale: nnHydrocodone nnwith nnacetaminophen nn(Vicodin) nncontains nnacetaminophen,
nnwhich nncan nnbennhepatotoxic. nnThe nnpatient nnhaving nnhepatitis nnB nnmay nnaffect nnthe
nnmetabolism nnof nnthe nndrug.
4.) nnThe nnnurse nnadministers nnmorphine nnsulfate nn4 nnmg nnIV nnto nna nnclient nnfor nntreatment nnof
nnsevere nnpain. nnWhich nnof nnthennfollowing nnassessments nnrequire nnimmediate nnnursing
nninterventions? nn(Select nnall nnthat nnapply)
A nnThe nnclients nnblood nnpressure
nnis nn110/70nnB nnThe nnclient nnis
nndrowsy
C nnThe nnclients nnpain nnis nnunrelieved nnin nn15 nnminutes
D nnThe nnclients nnrespiratory nnrate nnis nn10 nnbreaths nnper nnminute
E nnThe nnclients nnbecomes nnunresponsive nn- nnCORRECT nnANSWER nn-C, nnD, nnE
, Rationale: nnOpioids nnmay nncause nnrespiratory nndepression, nnparticularly nnwith nnthe nnfirst nndose
nngiven. nnThe nnclient'snnrespiratory nnrate nnshould nnremain nnabove nn12 nnbreaths nnper nnminute.
nnAlthough nnthe nnclient nnmay nnalso nnbecome nndrowsy, nnhe nnor nnshe nnshould nnnot nnbecome
nnunresponsive nnafter nnadministration nnof nnmorphine. nnBecause nnof nnthe nnrapid nnonset nnof
nndrugs nnwhen nngiven nnIV, nnif nnthe nnclient's nnpain nnis nnunrelieved nnin nn15 nnminutes, nnthe
nnprovider nnshouldnnbe nnnotified.
5.) nnPlanning nnteaching nnneeds nnfor nna nnclient nnwho nnis nnto nnbe nndischarged nnpostoperatively
nnwith nna nnprescription nnfornnoxycodone nnwith nnacetaminophen nn(Percocet) nnshould nninclude
nnwhich nnof nnthe nnfollowing?
A nnRefer nnthe nnclient nnto nna nndrug nntreatment nncenter nnif
nnaddiction nnoccursnnB nnEncourage nnincreased nnfluids nnand
nnfiber nnin nnthe nndiet
C nnMonitor nnfor nnGI nnbleeding
D nnTeach nnthe nnclient nnto nnself-assess nnblood nnpressure nn- nnCORRECT nnANSWER nn-B
Rationale: nnOpioids nnsuch nnas nnhydrocodone nnwith nnacetaminophen nn(Percocet) nnslow nnperistalsis,
nnwhich nncan nnleadnnto nnconstipation. nnIncreasing nnfluids nnand nnfiber nnin nnthe nndiet nnmay nnhelp
nnprevent nnthis nnadverse nneffect.
6.) nnWhat nnis nnthe nnmost nnappropriate nnmethod nnto nnensure nnadequate nnpain nnrelief nnin nnthe
nnimmediate nnpostoperativennperiod nnfrom nnan nnopioid nndrug?
A nnGive nnthe nndrug nnonly nnwhen nnthe nnfamily nnmember nnreports nnthat nnthe nnclient
nnis nncomplaining nnof nnpainnnB nnGive nnthe nndrug nnevery nntime nnthe nnclient nncomplains
nnof nnacute nnpain
CHAPTER 18 QUESTIONS AND
ANSWERS
1.) The nurse teaches the client relaxation techniques and guided imagery as an adjunct to medication
for treatment of pain. What is the main rationale for the use of these techniques as an adjunct to
analgesic medication?
A They are less costly techniques
B They may allow lower doses of drugs with fewer adverse effects
C They can be used at home
D They do not require self-injection - CORRECT ANSWER -B
Rationale: When used concurrently with medication, non-pharmacologic techniques may allow nnfor
nnlowernndoses nnand nnpossibly nnfewer nndrug-related nnadverse nneffects.
2.) nnThe nnemergency nndepartment nnnurse nnis nncaring nnfor nna nnclient nnwith nna nnmigraine
nnheadache. nnWhich nndrug nnwouldnnthe nnnurse nnanticipate nnadministering nnto nnabort nnthe nnclients
nnmigraine nnattack?
A nnMorphine
B nnPropranolol
nn(Inderal)nnC
nnIbuprofen nn(Motrin)
,D nnSumatriptan nn(Imitrex) nn- nnCORRECT nnANSWER nn-D
Rationale: nnTriptans nnsuch nnas nnsumatriptan nn(Imitrex) nnare nnused nnto nnabort nna nnmigraine
nnattacks. nnOther nnnarcoticsnnare nnnot nneffective nnin nnaborting nna nnmigraine.
3.) nnA nnclient nnadmitted nnwith nnhepatitis nnB nnis nnprescribed nnhydrocodone nnwith nn(APAP)
nnacetaminophen nn(Vicodin) nn2nntablets nnfor nnpain. nnWhat nnis nnthe nnmost nnappropriate nnaction
nnfor nnthe nnnurse nnto nntake?
A nnAdminister nnthe nndrug nnas
nnorderednnB nnAdminister nnone
nntablet nnonly
C nnRecheck nnthe nnorder nnwith nnthe nnhealth nncare nnprovider
D nnHold nnthe nndrug nnuntil nnthe nnhealth nncare nnprovider nnarrives nn- nnCORRECT nnANSWER nn-C
Rationale: nnHydrocodone nnwith nnacetaminophen nn(Vicodin) nncontains nnacetaminophen,
nnwhich nncan nnbennhepatotoxic. nnThe nnpatient nnhaving nnhepatitis nnB nnmay nnaffect nnthe
nnmetabolism nnof nnthe nndrug.
4.) nnThe nnnurse nnadministers nnmorphine nnsulfate nn4 nnmg nnIV nnto nna nnclient nnfor nntreatment nnof
nnsevere nnpain. nnWhich nnof nnthennfollowing nnassessments nnrequire nnimmediate nnnursing
nninterventions? nn(Select nnall nnthat nnapply)
A nnThe nnclients nnblood nnpressure
nnis nn110/70nnB nnThe nnclient nnis
nndrowsy
C nnThe nnclients nnpain nnis nnunrelieved nnin nn15 nnminutes
D nnThe nnclients nnrespiratory nnrate nnis nn10 nnbreaths nnper nnminute
E nnThe nnclients nnbecomes nnunresponsive nn- nnCORRECT nnANSWER nn-C, nnD, nnE
, Rationale: nnOpioids nnmay nncause nnrespiratory nndepression, nnparticularly nnwith nnthe nnfirst nndose
nngiven. nnThe nnclient'snnrespiratory nnrate nnshould nnremain nnabove nn12 nnbreaths nnper nnminute.
nnAlthough nnthe nnclient nnmay nnalso nnbecome nndrowsy, nnhe nnor nnshe nnshould nnnot nnbecome
nnunresponsive nnafter nnadministration nnof nnmorphine. nnBecause nnof nnthe nnrapid nnonset nnof
nndrugs nnwhen nngiven nnIV, nnif nnthe nnclient's nnpain nnis nnunrelieved nnin nn15 nnminutes, nnthe
nnprovider nnshouldnnbe nnnotified.
5.) nnPlanning nnteaching nnneeds nnfor nna nnclient nnwho nnis nnto nnbe nndischarged nnpostoperatively
nnwith nna nnprescription nnfornnoxycodone nnwith nnacetaminophen nn(Percocet) nnshould nninclude
nnwhich nnof nnthe nnfollowing?
A nnRefer nnthe nnclient nnto nna nndrug nntreatment nncenter nnif
nnaddiction nnoccursnnB nnEncourage nnincreased nnfluids nnand
nnfiber nnin nnthe nndiet
C nnMonitor nnfor nnGI nnbleeding
D nnTeach nnthe nnclient nnto nnself-assess nnblood nnpressure nn- nnCORRECT nnANSWER nn-B
Rationale: nnOpioids nnsuch nnas nnhydrocodone nnwith nnacetaminophen nn(Percocet) nnslow nnperistalsis,
nnwhich nncan nnleadnnto nnconstipation. nnIncreasing nnfluids nnand nnfiber nnin nnthe nndiet nnmay nnhelp
nnprevent nnthis nnadverse nneffect.
6.) nnWhat nnis nnthe nnmost nnappropriate nnmethod nnto nnensure nnadequate nnpain nnrelief nnin nnthe
nnimmediate nnpostoperativennperiod nnfrom nnan nnopioid nndrug?
A nnGive nnthe nndrug nnonly nnwhen nnthe nnfamily nnmember nnreports nnthat nnthe nnclient
nnis nncomplaining nnof nnpainnnB nnGive nnthe nndrug nnevery nntime nnthe nnclient nncomplains
nnof nnacute nnpain
