NR293 pharm exam 1 practice questions well done2023/2024

For best results when treating severe pain associated with pathologic spinal fractures related to metatistic bone cancer, the nurse should remember that the best type of dosage schedule it to administer the pain medication A. as needed B. around the clock C. on schedule during waking hours only D. around the clock, with additional doses as needed for breakthrough pain – answers (d) a patient is receiving an opioid via a PCA pump as part of his postoperative pain management program. During rounds, the nurse finds him unresponsive, with respirations of 8 breaths/min and a blood pressure of 102/58 mm hg. After stopping the opioid infusion what should the nurse do next? A. notify the charge nurse B. draw arterial blood gases C. administer an opiate antagonist per standing order D. perform a thorough assessment, including mental status examination – answers c A patient with bone pain caused by metazoic cancer will be receiving transdermal fetanyl patches. The patient asks the nurse what benefit these patches have. What is the nurses’ best response? A. more constant drug levels for analgesia B. less constipation and minimal dry mouth C. less drowsiness than with oral opioids D. lower decency potential and no major adverse effects – answers (a) IV morphine is prescribed for a patient who had surgery. The nurse informs the patient that which common adverse effects can occur with this medication? Select all that apply A. diaherra B. constipation C. prutis D. urinary frequency E. nausea – answers b,c.e Several patient have standard orders for acetaminophen as needed for pain. While reviewing their histories and assessment, the nurse discovers that one of the patients has contradiction to acetaminophen. Which patient should receive an alternate therapy? A. a patient with a fever of 103.4 B. a patient admitted with deep vein thrombosis C. a patient admitted with severe hepatitis D. a patient with abdominal surgery a week-ago – answers c An opioid analgesic is prescribed for a patient. The nurse checks the patients’ medical history knowing this medication is a contraindication in which disorder? A. renal insuffiency B. severe asthma C. liver disease D. diabetes mellitus – answers b A patient with renal cancer needs an opiate for pain control. Which opioid medications would be the safest choice for this patient? A. fentanyl B. hydromorphone (deluded) C. morphine sulfate D. methadone – answers d The physician has requested lidocaine with epinephrine. The nurse recognizes that the most important reason for adding epic is? A. helps to calm the patient before the procedure B. minimizes the risk for an allergic reaction C. enhances the effect of local lidocaine D. reduces bleeding in the surgical area – answers d The surgical nurse is reviewing operative cases scheduled for the day. Which of these patients is more prone to complications from general anesthesia A. a 79 year woman who is about to have a hip replacement surgery B. a 49 year male athlete who quit heavy smoking 12 years ago C. a 30 year woman who is in perfect health but has never had aneshtia D. a 50 year woman scheduled for outpatient laser surgery for vision correction – answers a Which nursing diagnosis is possible for a patient who is now recovering after having been under general anesthesia for 3 to 4 hours during surgery? A. impaired urinary elimination related to the use of vasopressors an anesthetics B. increased cardiac output related to the effects of general anesthia C. risk for falls related to decrease sensorium for 2 to 4 days postoperatively D. impaired gas exchange due to the CNS depressant effect anesthesia – answers d A patient is recovering form general anesthesia. What is the nurses’ main concern during the immediate post period? A. airway B. pupillary refluxes C. return of sensation d. LOC – answers a a patient is about to go under cardioversion, and the nurse is reviewing the procedure and explaning moderate sedation with proposal. the patient asks i am afraid of feeling it when they shook me. what is the nurses best response? a. you won't receive enough of a shock to feel anything b. you will feel the shock but you won't remember any of the pain