REVIEW QUESTIONS AND ANSWERS
RATED 100% CORRECT.
A patient undergoing withdrawal from an opiate agonist asks the nurse how
long the withdrawal symptoms will last. Which response by the nurse is best?
1. It is impossible to say because there is so much individual variation.
2. Symptoms can last for as long as 6 weeks, depending on how long the
opiate was used.
3. Symptoms last 3 weeks, depending on the amount of drug used before
withdrawal.
4. Symptoms peak in about 2 days and then disappear by the end of a week.
- ANSWERS-4. Symptoms peak in about 2 days and then disappear by the
end of a week.
Which medication does the nurse hold if a patient's vital signs are blood
pressure 144/90 mm Hg, pulse 60, and respirations 10?
1. Irbesartan (Avapro)
2. Morphine
3. Digoxin (Lanoxin)
4. Furosemide (Lasix) - ANSWERS-2. Morphine
A patient who has received an initial dose of an opiate partial agonist reports
feeling clammy, dizzy, and nauseated. Which action does the nurse
implement next?
1. Obtains an order for an antidote
2. Assists the patient to rest in a supine position
3. Gives a glass of orange juice or other glucose source
,4. Administers an antiemetic - ANSWERS-2. Assists the patient to rest in a
supine position
Which patient illustrates a physical dependence to an opioid agonist?
1. Patient who experiences abstinence syndrome when the drug is abruptly
discontinued
2. Patient who requires increasing doses to receive the same amount of pain
relief
3. Patient who maintains adequate pain relief within the prescribed range of
therapy
4. Patient who seeks other avenues for pain relief besides the prescribed
medication - ANSWERS-1. Patient who experiences abstinence syndrome
when the drug is abruptly discontinued
Which explanation should the nurse provide when instructing a patient
chronically taking opioids on how to discontinue the medication?
1. "Taper the medication slowly over 7 to 10 days."
2. "Simply stop taking the medication when ready."
3. "Change the medication to a weaker opioid and then discontinue the new
medication after 3 weeks."
4. "Taper the medication slowly over 3 to 4 weeks." - ANSWERS-1. "Taper the
medication slowly over 7 to 10 days."
A patient has overdosed on morphine. Which medication does the nurse
anticipate will be ordered by the physician to treat the patient's overdose?
1. Propranolol (Inderal)
2. Naloxone (Narcan)
3. Flumazenil (Romazicon)
4. Atropine - ANSWERS-2. Naloxone (Narcan)
, Which information does the nurse include for a patient taking tramadol
(Ultram)?
1. "Tramadol may cause constipation, so be sure to include sufficient
roughage in your diet."
2. "Have your liver enzymes monitored until you complete the medication."
3. "Take tramadol as often as needed for pain relief."
4. "Continue to take tramadol even if you are not experiencing pain or
discomfort." - ANSWERS-1. "Tramadol may cause constipation, so be sure to
include sufficient roughage in your diet."
Which adult patient should the nurse hold an order for an opioid agonist?
1. Patient who continually reports pain although there are no physical
symptoms
2. Patient who is experiencing constipation from opioid use
3. Patient whose pulse rate is 75
4. Patient whose respiratory rate is 10 - ANSWERS-4. Patient whose
respiratory rate is 10
Which assessment would be expected in a patient receiving high dosages of
morphine?
1. Urinary urgency
2. Increased bowel sounds
3. Hypertension
4. Constricted pupils - ANSWERS-4. Constricted pupils
Which property of aspirin does acetaminophen (Tylenol) lack?
1. Antipyretic
2. Antinausea
3. Analgesic