NURS 3517 - TEST 2 QUESTIONS WITH COMPLETE
SOLUTIONS
• Clonazepam Correct Answers o used to decreased anxiety or
agitation as well as prevent and control seizures.
3.A patient who has metastasized bone cancer and has been on
transdermal fentanyl patches for pain management for 3 months
has been hospitalized for tests and has told the nurse that the
pain is becoming "unbearable." The nurse is reluctant to
administer the ordered pain medication because the nurse does
not want the patient to become addicted to the medication. The
nurse's actions reflect which of the following:
a)Appropriate concern for the patient's best welfare
b)Appropriate caution for a patient who is already on a long-
term opioid
c)An uncaring attitude toward the patient
d)Failure to manage the patient's pain properly Correct Answers
D
A patient recovering from an appendectomy also has asthma and
allergies to shellfish and iodine. To manage the patient's
postoperative pain, the physician has prescribed PCA with
hydromorphone (Dilaudid). Which vital sign is of greatest
concern?
a)Pulse
b)Blood pressure
c)Temperature
,d)Respirations Correct Answers D - BECAUSE OF
ALLERGIES
A patient with a history of heavy alcohol use needs a medication
for pain. The recommended maximum daily dose of
acetaminophen for this patient would be...?
• 1 000 mg
• 2 000 mg
• 3 000 mg
• 4 000 mg Correct Answers 2000mg
Acetaminophen: Contraindications and Interactions Correct
Answers Should not be taken in the presence of:
** Drug allergy
**Liver dysfunction
*Possible liver failure
**G6PD deficiency
Dangerous interactions may occur if taken with alcohol or other
drugs that are hepatotoxic
Acetaminophen: Dosage Correct Answers -Maximum daily
dose for healthy adults is 4 g/day, but Health Canada is
considering lowering*
-2 000 mg for older adults and those with liver disease
Acetaminophen: Toxicity and Managing Overdose Correct
Answers Recommended antidote:
acetylcysteine regimen
, Acute pain Correct Answers sudden onset, usually subsides
once treated
Adjuvant drugs Correct Answers Assist primary drugs in
relieving pain
-NSAIDs
-Antidepressants
-Anticonvulsants
-Corticosteroids
Adjuvant drugs use Correct Answers Using adjuvant drugs
allows the use of smaller dosages of opioids and reduces some
adverse effects seen with higher dosages of opioids
Agranulocytosis r/t Clozapine Correct Answers • Neutrophil
count (component of white blood cells)
• Symptoms:
• Rapid onset of fever, chills, jaundice, weakness, or sore throat
• Mouth sores
• Bleeding gums
*Special monitoring requirements as Agranulocytosis of
significant concern
Alprazolam (Xanax®)o Correct Answers o Xanax is the most
commonly used anxiolytic drug and indicated for panic disorder
Anaesthisa Nursing Implications Correct Answers Always
assess past history of surgeries and response to anaesthesia.
Allergies, and current medications.
Assess use of alcohol, illicit drugs, and opioids.
SOLUTIONS
• Clonazepam Correct Answers o used to decreased anxiety or
agitation as well as prevent and control seizures.
3.A patient who has metastasized bone cancer and has been on
transdermal fentanyl patches for pain management for 3 months
has been hospitalized for tests and has told the nurse that the
pain is becoming "unbearable." The nurse is reluctant to
administer the ordered pain medication because the nurse does
not want the patient to become addicted to the medication. The
nurse's actions reflect which of the following:
a)Appropriate concern for the patient's best welfare
b)Appropriate caution for a patient who is already on a long-
term opioid
c)An uncaring attitude toward the patient
d)Failure to manage the patient's pain properly Correct Answers
D
A patient recovering from an appendectomy also has asthma and
allergies to shellfish and iodine. To manage the patient's
postoperative pain, the physician has prescribed PCA with
hydromorphone (Dilaudid). Which vital sign is of greatest
concern?
a)Pulse
b)Blood pressure
c)Temperature
,d)Respirations Correct Answers D - BECAUSE OF
ALLERGIES
A patient with a history of heavy alcohol use needs a medication
for pain. The recommended maximum daily dose of
acetaminophen for this patient would be...?
• 1 000 mg
• 2 000 mg
• 3 000 mg
• 4 000 mg Correct Answers 2000mg
Acetaminophen: Contraindications and Interactions Correct
Answers Should not be taken in the presence of:
** Drug allergy
**Liver dysfunction
*Possible liver failure
**G6PD deficiency
Dangerous interactions may occur if taken with alcohol or other
drugs that are hepatotoxic
Acetaminophen: Dosage Correct Answers -Maximum daily
dose for healthy adults is 4 g/day, but Health Canada is
considering lowering*
-2 000 mg for older adults and those with liver disease
Acetaminophen: Toxicity and Managing Overdose Correct
Answers Recommended antidote:
acetylcysteine regimen
, Acute pain Correct Answers sudden onset, usually subsides
once treated
Adjuvant drugs Correct Answers Assist primary drugs in
relieving pain
-NSAIDs
-Antidepressants
-Anticonvulsants
-Corticosteroids
Adjuvant drugs use Correct Answers Using adjuvant drugs
allows the use of smaller dosages of opioids and reduces some
adverse effects seen with higher dosages of opioids
Agranulocytosis r/t Clozapine Correct Answers • Neutrophil
count (component of white blood cells)
• Symptoms:
• Rapid onset of fever, chills, jaundice, weakness, or sore throat
• Mouth sores
• Bleeding gums
*Special monitoring requirements as Agranulocytosis of
significant concern
Alprazolam (Xanax®)o Correct Answers o Xanax is the most
commonly used anxiolytic drug and indicated for panic disorder
Anaesthisa Nursing Implications Correct Answers Always
assess past history of surgeries and response to anaesthesia.
Allergies, and current medications.
Assess use of alcohol, illicit drugs, and opioids.
