NSG
NSG 3022 EXAM 3 PREP TEST BANK QUESTIONS
WITH CORRECT VERIFIED SOLUTIONS 100%
GUARANTEED PASS
The nurse is evaluating a patient 2 hours after giving a dose of 30 mg of
codeine with
acetaminophen for postoperative pain following abdominal surgery. The
patient reports a pain level of 7
on a scale of 1 to 10. The patient is not satisfied with their current level of
pain relief. The nurse notes a
heart rate of 110 beats per minute, a respiratory rate of 28 breaths per
minute, and a blood pressure of
180/90 mm Hg. Which action will the nurse take?
a. Administer the next dose of codeine 1 hour early.
b. Ask the provider if the codeine dose can be increased.
c. Contact the provider to ask if a dose of ibuprofen may be given now.
d. Request an order for oxycodone with acetaminophen (Percocet). - ANS
✓d. Request an order for oxycodone with acetaminophen (Percocet).
The nurse is teaching a female patient who will begin taking 2 tablets of
325 mg acetaminophen
every 4 to 6 hours as needed for pain. Which statement by the patient
indicates understanding of the
teaching?
a. "I may take acetaminophen up to 6 times daily if needed."
b. "I should increase the dose of acetaminophen if I drink caffeinated
coffee."
c. "If I take oral contraceptive pills, I should use back-up contraception."
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d. "It is safe to take acetaminophen with any over-the-counter
medications." - ANS ✓a. "I may take acetaminophen up to 6 times daily if
needed."
The parent of a 5-year-old child asks the nurse to recommend an over-the-
counter
pain medication for the child. Which analgesic will the nurse recommend?
a. Acetaminophen (Tylenol)
b. Aspirin (Ecotrin)
c. Diflunisal (Dolobid)
d. Celecoxib (Celebrex) - ANS ✓a. Acetaminophen (Tylenol)
The nurse is performing an admission assessment on an adolescent who
reports taking extra strength acetaminophen (Tylenol) regularly to treat
daily headaches. The nurse will notify the patient's
provider and discuss an order for which of the following?
a. a selective serotonin receptor agonist (SSRA).
b. hydrocodone with acetaminophen for headache pain.
c. liver enzyme testing.
d. serum glucose testing. - ANS ✓c. liver enzyme testing.
The nurse is providing teaching to a patient who will begin taking aspirin to
treat arthritis pain.
Which statement by the patient indicates a need for further teaching?
a. "I should increase fiber and fluids while taking aspirin."
b. "I will call my provider if I experience significant abdominal pain."
c. "I will drink a full glass of water with each dose."
d. "I will notify my provider of ringing in my ears." - ANS ✓a. "I should
increase fiber and fluids while taking aspirin."
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An adolescent female has dysmenorrhea associated with heavy menstrual
periods. The
patient's provider has recommended ibuprofen (Motrin). When teaching
this patient about this drug, the
nurse will tell her that ibuprofen:
a. may decrease the effectiveness of oral contraceptive pills.
b. may increase bleeding during her period.
c. should be taken on an empty stomach to increase absorption.
d. will decrease the duration of her periods. - ANS ✓b. may increase bleeding
during her period.
The emergency department nurse is caring for a patient who has received
morphine sulphate
for severe pain following an injury. The nurse performs a drug history and
learns that the patient takes St. John's wort for symptoms of depression.
The nurse will observe this patient closely for an
increase in which opioid adverse effect?
a. Constipation
b. Pruritus
c. Respiratory depression
d. Sedation - ANS ✓d. Sedation
The nurse is performing an admission assessment on a stable patient
admitted after a
motor vehicle accident. The patient reports having "bad pain." What will
the nurse do first?
a. Administer acetaminophen (Tylenol).
b. Ask the patient to rate the pain on a 1 to 10 scale.
c. Attempt to determine what type of pain the patient has.
d. Request an order for an intravenous opioid analgesic - ANS ✓b. Ask the
patient to rate the pain on a 1 to 10 scale.
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The nurse assumes care of a patient in the post-anaesthesia care unit
(PACU). The patient
had abdominal surgery and is receiving intravenous morphine sulfate for
pain. The patient is asleep and
has not voided since prior to surgery. The nurse assesses a respiratory rate
of 10 breaths per minute and
notes hypoactive bowel sounds. The nurse will contact the surgeon
primarily to report which condition?
a. Paralytic ileus
b. Respiratory depression
c. Somnolence
d. Urinary retention - ANS ✓b. Respiratory depression
One hour after receiving intravenous morphine sulfate, a patient reports
generalized itching.The
nurse assesses the patient and notes clear breath sounds, no rash,
respirations of 14 breaths per
minute, a heart rate of 68 beats per minute, and a blood pressure of 110/70
mm Hg. Which action will
the nurse take?
a. Administer naloxone to reverse opiate overdose.
b. Have resuscitation equipment available at the bedside.
c. Prepare an epinephrine injection in case of an anaphylactic reaction.
d. Reassure the patient that this is a common side effect of this drug - ANS
✓d. Reassure the patient that this is a common side effect of this drug
The nurse administers nalbuphine (Nubain) to a patient who is
experiencing severe pain. Which
statement by the patient indicates a need for further teaching about this
drug?
a. "I may experience unusual dreams while taking this medication."
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