PHARM NR 223 TEST BANKPharmacology and the Nursing Process9th Edition

CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA e e e e e e e e e



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Chapter 10: Analgesic Drugs e e e


• A 38-year- e


old man has come into the urgent care center with severe hip pain after falling fro
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m a ladder at work. He says he has taken several pain pills over the past few hours
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but cannot remember how many he has taken. He hands the nurse an empty bottl
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e of acetaminophen (Tylenol). The nurse is aware that the most serious toxic effect
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ofacute acetaminophen overdose is which condition?
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a. Tachycardia


b. Central nervous system depression
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c. Hepatic necrosis e




d. Nephropathy



ANS: C e




Hepatic necrosis is the most serious acute toxic effect of an acute overdose of aceta
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minophen. The other options areincorrect.e e e e e




• A 57-year-old woman being treated for end-
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stage breast cancer has been using a transdermal opioid analgesic as part of the m
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anagement of pain. Lately, she has been experiencing breakthrough pain. The nurs
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e expects this type ofpain to be managed by
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CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA e e e e e e e e e



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,CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA
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a. administering NSAIDs.
e




b. administering an immediate-release opioid.
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CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA
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,CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA e e e e e e e e e



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c. changing the opioid route to the rectal route.
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d. not changing the current therapy.
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ANS: B e




If a patient is taking long-
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acting opioid analgesics, breakthrough pain must be treated with an immediate-
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release dosage form that is given between scheduled doses of the long-
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acting opioid. The other options are not appropriateactions.
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• The nurse is reviewing herbal therapies. Which is a common use of the herb feverf
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ew?




a. Muscle aches e




b. Migraine headaches e




c. Leg cramps e




d. Incision pain after surgery
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ANS: B e




CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA e e e e e e e e e



M QUESTIONS AND ANSWERS BEST RATED A+ LATEST UPDATE 20
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, CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA e e e e e e e e e



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Feverfew is commonly used for migraine headaches, menstrual problems, arthritis,
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eand fever. Possible adverseeffects include muscle stiffness and muscle and joint pa
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in.

• A patient is to receive acetylcysteine (Mucomyst) as part of the treatment f
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or an acetaminophen (Tylenol)overdose. Which action by the nurse is approp
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riate when giving this medication?
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a. Giving the medication undiluted for full effect
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b. Avoiding the use of a straw when giving this medication
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CHAMBERLAIN COLLEGE OF NURSING PHARM NR 507 TEST 2 EXA e e e e e e e e e



M QUESTIONS AND ANSWERS BEST RATED A+ LATEST UPDATE 20
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