FNP 593 FINAL (Dunphy (2019 ed.) Chapter 37)
QUESTIONS AND ANSWERS
Save
Terms in this set (70)
Which of the following statements is c. Pain is a subjective experience related to actual
true regarding pain? or potential tissue damage.
a. If a patient complains of pain but
has no physical signs, he or she is
most likely
exhibiting drug-seeking behaviors.
b. Acute pain is more intense and
severe than chronic pain.
c. Pain is a subjective experience
related to actual or potential tissue
damage.
d. All of the above
Which of the following would be a b. Intra-abdominal metastases
cause of visceral pain?
a. Bone metastases
b. Intra-abdominal metastases
c. Musculoskeletal inflammation
d. Postsurgical incisional pain
,According to the World Health d. Indomethacin/hydrocodone
Organization's analgesic ladder,
which drug combination would be
most appropriate in an opiate-naïve
patient who presents with moderate
pain?
a. Ibuprofen/imipramine
b. Naproxen/morphine
c. Aspirin/fentanyl
d. Indomethacin/hydrocodone
A 75-year-old man is being treated d. None of the above
as an outpatient for metastatic
prostate cancer. Which of the
following statements is true
regarding the management of pain
with opioids in the elderly?
a. Opioids with a long half-life, such
as methadone, are a good choice,
because they
stay in the system longer, and
patients do not have to remember to
take multiple
pills.
b. Serum creatinine is the best
measurement of renal function in the
elderly and
should be done prior to the initiation
of treatment with opioids.
c. Renal clearance of medications is
faster in the elderly, so higher
dosages of
medications are needed to
adequately control pain.
d. None of the above
, A patient had a transdermal fentanyl b. Prescribe a short-acting opioid for breakthrough
patch placed 2 hours ago and is not pain.
getting any pain relief.
What would be the most appropriate
intervention?
a. Remove the current patch and
replace with a new fentanyl patch at
a higher dose.
b. Prescribe a short-acting opioid for
breakthrough pain.
c. Remove the patch and switch to a
different intravenous opioid.
d. Tell the patient not to worry, as it
takes about 12 hours for the patch's
effects to be
felt, and he will have relief at that
time.
QUESTIONS AND ANSWERS
Save
Terms in this set (70)
Which of the following statements is c. Pain is a subjective experience related to actual
true regarding pain? or potential tissue damage.
a. If a patient complains of pain but
has no physical signs, he or she is
most likely
exhibiting drug-seeking behaviors.
b. Acute pain is more intense and
severe than chronic pain.
c. Pain is a subjective experience
related to actual or potential tissue
damage.
d. All of the above
Which of the following would be a b. Intra-abdominal metastases
cause of visceral pain?
a. Bone metastases
b. Intra-abdominal metastases
c. Musculoskeletal inflammation
d. Postsurgical incisional pain
,According to the World Health d. Indomethacin/hydrocodone
Organization's analgesic ladder,
which drug combination would be
most appropriate in an opiate-naïve
patient who presents with moderate
pain?
a. Ibuprofen/imipramine
b. Naproxen/morphine
c. Aspirin/fentanyl
d. Indomethacin/hydrocodone
A 75-year-old man is being treated d. None of the above
as an outpatient for metastatic
prostate cancer. Which of the
following statements is true
regarding the management of pain
with opioids in the elderly?
a. Opioids with a long half-life, such
as methadone, are a good choice,
because they
stay in the system longer, and
patients do not have to remember to
take multiple
pills.
b. Serum creatinine is the best
measurement of renal function in the
elderly and
should be done prior to the initiation
of treatment with opioids.
c. Renal clearance of medications is
faster in the elderly, so higher
dosages of
medications are needed to
adequately control pain.
d. None of the above
, A patient had a transdermal fentanyl b. Prescribe a short-acting opioid for breakthrough
patch placed 2 hours ago and is not pain.
getting any pain relief.
What would be the most appropriate
intervention?
a. Remove the current patch and
replace with a new fentanyl patch at
a higher dose.
b. Prescribe a short-acting opioid for
breakthrough pain.
c. Remove the patch and switch to a
different intravenous opioid.
d. Tell the patient not to worry, as it
takes about 12 hours for the patch's
effects to be
felt, and he will have relief at that
time.
