TEST BANK For Visovsky, Introduction to Clinical
Pharmacology 10th Edition
1. What types of drugs have the main purpose of relieving pain? - ANSWER:
Analgesics
2. An adult patient has returned to the unit from an operative procedure. The
healthcare provider
asks you to rate a patient's postoperative pain. What is your best response? -
ANSWER: "I will ask the patient to rate his own pain."
3. You are caring for a female patient who is paralyzed from the waist down and has
a large open
wound on her right heel. When asked about her pain in that foot, she tells you it is a
0 on a 0 to 10
pain rating scale. What does this response indicate? - ANSWER: The patient's
paralysis prevents the patient's brain from perceiving the pain.
4. A nursing student assigned to work with you asks you to explain why natural and
synthetic
opioids are considered "high-alert drugs?" What is your best response? - ANSWER:
"Opioids have an increased risk for causing a patient harm if given in error.
5. The RN has given 2 mg of hydromorphone intravenously to a patient for severe
pain. When
you assess the patient's pain level an hour after receiving the drug you find the
patient asleep with
a respiratory rate of 10 breaths/min. What is your best first action? - ANSWER:
Assess the patient's oxygen saturation with pulse oximetry.
6. A patient being discharged to home is prescribed an oxycodone-acetaminophen
combination
for pain management. Which statement regarding a precaution is most important to
teach this
patient? - ANSWER: "Be sure to drink plenty of water and eat foods high in fiber to
prevent constipation."
7. You accidentally give a patient 30 mg orally of hydromorphone (Dilaudid) instead
of the 30 mg
of oral hydrocodone ordered. What is your first best action? - ANSWER: Notify the
RN in charge immediately
8. When assessing the blood pressure of a patient receiving pentazocine (Talwin) 30
mg orally for
, pain control two days after surgery, the reading is 166/100, which is much higher
than the
patient's presurgical blood pressure. What is your best action? - ANSWER: Assess the
patient for other cardiac changes.
9. A patient with chronic pain asks you to explain how tramadol works to help
control pain. What
is your best response? - ANSWER: "Tramadol acts by blocking neurotransmitters in
the spinal cord and brain."
10.A patient with chronic arthritis pain reports taking acetaminophen 4 to 6 g/day
for arthritis
pain. Which health problem should you teach this patient that can occur as a result
of taking this
acetaminophen therapy? - ANSWER: Liver toxicity can result as a result of high
acetaminophen doses."
11. The postoperative orders for an adult patient who has just arrived on your unit
after major
abdominal surgery reads morphine 15mg IM every 4 to 6 hours as needed for pain.
What is the
best schedule for pain relief during the first postoperative day for this patient? -
ANSWER: Give the drug automatically every 4 hours around the clock for the 24
hours
12. Which of the following assessments is most important to perform on a patient
newly
prescribed to take cyclobenzaprine for severe muscle pain - ANSWER: Blood pressure
and heart rate
13. Which patient should be assessed closely for complications of pain management
with
methocarbamol - ANSWER: 75 -year-old man with benign prostatic hyperplasia
MULTIPLE RESPONSE
1. Some analgesics are considered to be strong opioid agonists. Indicate which of the
following
analgesics are considered strong opioid agonists. (Select all that apply.) - ANSWER:
Fentanyl
Hydromorphone
Morphine
2. Which of the drugs listed below help manage pain by acting at the tissue where
pain starts and
do not change the person's perception of pain? (Select all that apply.) - ANSWER:
Corticosteroids
NSAIDs
Pharmacology 10th Edition
1. What types of drugs have the main purpose of relieving pain? - ANSWER:
Analgesics
2. An adult patient has returned to the unit from an operative procedure. The
healthcare provider
asks you to rate a patient's postoperative pain. What is your best response? -
ANSWER: "I will ask the patient to rate his own pain."
3. You are caring for a female patient who is paralyzed from the waist down and has
a large open
wound on her right heel. When asked about her pain in that foot, she tells you it is a
0 on a 0 to 10
pain rating scale. What does this response indicate? - ANSWER: The patient's
paralysis prevents the patient's brain from perceiving the pain.
4. A nursing student assigned to work with you asks you to explain why natural and
synthetic
opioids are considered "high-alert drugs?" What is your best response? - ANSWER:
"Opioids have an increased risk for causing a patient harm if given in error.
5. The RN has given 2 mg of hydromorphone intravenously to a patient for severe
pain. When
you assess the patient's pain level an hour after receiving the drug you find the
patient asleep with
a respiratory rate of 10 breaths/min. What is your best first action? - ANSWER:
Assess the patient's oxygen saturation with pulse oximetry.
6. A patient being discharged to home is prescribed an oxycodone-acetaminophen
combination
for pain management. Which statement regarding a precaution is most important to
teach this
patient? - ANSWER: "Be sure to drink plenty of water and eat foods high in fiber to
prevent constipation."
7. You accidentally give a patient 30 mg orally of hydromorphone (Dilaudid) instead
of the 30 mg
of oral hydrocodone ordered. What is your first best action? - ANSWER: Notify the
RN in charge immediately
8. When assessing the blood pressure of a patient receiving pentazocine (Talwin) 30
mg orally for
, pain control two days after surgery, the reading is 166/100, which is much higher
than the
patient's presurgical blood pressure. What is your best action? - ANSWER: Assess the
patient for other cardiac changes.
9. A patient with chronic pain asks you to explain how tramadol works to help
control pain. What
is your best response? - ANSWER: "Tramadol acts by blocking neurotransmitters in
the spinal cord and brain."
10.A patient with chronic arthritis pain reports taking acetaminophen 4 to 6 g/day
for arthritis
pain. Which health problem should you teach this patient that can occur as a result
of taking this
acetaminophen therapy? - ANSWER: Liver toxicity can result as a result of high
acetaminophen doses."
11. The postoperative orders for an adult patient who has just arrived on your unit
after major
abdominal surgery reads morphine 15mg IM every 4 to 6 hours as needed for pain.
What is the
best schedule for pain relief during the first postoperative day for this patient? -
ANSWER: Give the drug automatically every 4 hours around the clock for the 24
hours
12. Which of the following assessments is most important to perform on a patient
newly
prescribed to take cyclobenzaprine for severe muscle pain - ANSWER: Blood pressure
and heart rate
13. Which patient should be assessed closely for complications of pain management
with
methocarbamol - ANSWER: 75 -year-old man with benign prostatic hyperplasia
MULTIPLE RESPONSE
1. Some analgesics are considered to be strong opioid agonists. Indicate which of the
following
analgesics are considered strong opioid agonists. (Select all that apply.) - ANSWER:
Fentanyl
Hydromorphone
Morphine
2. Which of the drugs listed below help manage pain by acting at the tissue where
pain starts and
do not change the person's perception of pain? (Select all that apply.) - ANSWER:
Corticosteroids
NSAIDs
