Lilley’s Pharmacology 4th Edition Test Bank – Final Comprehensive Exam
Prep
1. A patient diagnosed with mi- 2. An 18-year-old basketball play- er
graine headache is experienc- fell and twisted his ankle during a
ing what type of pain? game. Which type of analgesic is
he likely to be giv- en?
Acute pain
Persistent pain
Vascular pain
A synthetic opioid, such as
Phantom pain
meperidine hydrochloride
An opium alkaloid, such as
morphine sulphate
,Lilley’s Pharmacology 4th Edition Test Bank – Final Comprehensive Exam
Prep
An opioid antagonist, such as Vascular pain
naloxone hydrochloride (Sub-
Vascular pain is thought to account for a large percentage of
oxone®)
migraine headaches. It is believed to originate from vascular
A non-opioid analgesic, such as or perivascular tissues. It is characterized by persistent and
tramadol recurring pain lasting 3 to 6 months. Acute pain is sudden
and usually subsides when treated. Phantom pain occurs in
the area of a body part that has been removed—surgically
or traumatically—and is often described as burning, itching,
tingling, or stabbing. It can also occur in paralyzed limbs
following spinal cord injury.
A non-opioid analgesic, such as tramadol
Pain originating from skeletal muscles, ligaments, and joints
usually responds to non-opioid analgesics such as nons-
teroidal anti-inflammatory drugs (NSAIDs). All drugs in the
NSAID class are especially useful for pain associated with
inflammatory conditions because these drugs have analgesic
and anti-inflammatory ettects.
, Lilley’s Pharmacology 4th Edition Test Bank – Final Comprehensive Exam
Prep
3. A patient is in the recov- Respiration rate
ery room following abdominal One of the most serious side ettects of opioids is respiratory
surgery. He is groggy but re- depression, so respiration must be assessed prior to admin-
ports severe pain around his istering a dose of morphine.
incision. What is the most im-
portant factor for the nurse to
consider during her patient as-
sessment before administering
a dose of morphine sulphate?
Temperature
Respiration rate
Appearance of the incision
Time of last bowel movement
Administration of naloxone, an opioid reversal agent
4. A 78-year-old patient is in the
recovery room after lengthy
Naloxone, an opioid reversal agent, is used to reverse the
hip surgery. While gradual- ettects of acute opioid overdose and is the drug of choice
ly awakening, the patient re- for reversal of opioid-induced respiratory depression.
quests pain medication. With-
in 10 minutes after receiving a
dose of morphine sulphate, the
patient is very lethargic; respi-
ration is shallow, at a rate of
nine respirations per minute.
What necessary action may the
nurse need to perform?
Close observation for signs of
opioid tolerance
, Lilley’s Pharmacology 4th Edition Test Bank – Final Comprehensive Exam
Prep
Immediate intubation and arti-
ficial ventilation
Administration of naloxone, an
opioid
reversal agent
Administration of an agonist
opioid, such as fentanyl (Dura-
gesic Mat)
5. A patient will be discharged How to prevent constipation
with a 1-week supply of an
opioid analgesic for pain man- Gastrointestinal occurrences such as nausea, vomiting, and
agement after his abdominal constipation are the most common adverse ettects associ-
surgery. What should the nurse ated with opioid analgesics. Physical dependence usually
occurs in patients undergoing long-term treatment.
teach this patient in regard to
this drug?
How to manage diarrhea
How to access drug addiction
programs
How to prevent constipation
How to avoid dehydration due
to polyuria
6. A patient who has been treated Opioid tolerance
for lung cancer for 3 years has
noticed that over the past few months the opioid analgesic that
is being used is not helping
Prep
1. A patient diagnosed with mi- 2. An 18-year-old basketball play- er
graine headache is experienc- fell and twisted his ankle during a
ing what type of pain? game. Which type of analgesic is
he likely to be giv- en?
Acute pain
Persistent pain
Vascular pain
A synthetic opioid, such as
Phantom pain
meperidine hydrochloride
An opium alkaloid, such as
morphine sulphate
,Lilley’s Pharmacology 4th Edition Test Bank – Final Comprehensive Exam
Prep
An opioid antagonist, such as Vascular pain
naloxone hydrochloride (Sub-
Vascular pain is thought to account for a large percentage of
oxone®)
migraine headaches. It is believed to originate from vascular
A non-opioid analgesic, such as or perivascular tissues. It is characterized by persistent and
tramadol recurring pain lasting 3 to 6 months. Acute pain is sudden
and usually subsides when treated. Phantom pain occurs in
the area of a body part that has been removed—surgically
or traumatically—and is often described as burning, itching,
tingling, or stabbing. It can also occur in paralyzed limbs
following spinal cord injury.
A non-opioid analgesic, such as tramadol
Pain originating from skeletal muscles, ligaments, and joints
usually responds to non-opioid analgesics such as nons-
teroidal anti-inflammatory drugs (NSAIDs). All drugs in the
NSAID class are especially useful for pain associated with
inflammatory conditions because these drugs have analgesic
and anti-inflammatory ettects.
, Lilley’s Pharmacology 4th Edition Test Bank – Final Comprehensive Exam
Prep
3. A patient is in the recov- Respiration rate
ery room following abdominal One of the most serious side ettects of opioids is respiratory
surgery. He is groggy but re- depression, so respiration must be assessed prior to admin-
ports severe pain around his istering a dose of morphine.
incision. What is the most im-
portant factor for the nurse to
consider during her patient as-
sessment before administering
a dose of morphine sulphate?
Temperature
Respiration rate
Appearance of the incision
Time of last bowel movement
Administration of naloxone, an opioid reversal agent
4. A 78-year-old patient is in the
recovery room after lengthy
Naloxone, an opioid reversal agent, is used to reverse the
hip surgery. While gradual- ettects of acute opioid overdose and is the drug of choice
ly awakening, the patient re- for reversal of opioid-induced respiratory depression.
quests pain medication. With-
in 10 minutes after receiving a
dose of morphine sulphate, the
patient is very lethargic; respi-
ration is shallow, at a rate of
nine respirations per minute.
What necessary action may the
nurse need to perform?
Close observation for signs of
opioid tolerance
, Lilley’s Pharmacology 4th Edition Test Bank – Final Comprehensive Exam
Prep
Immediate intubation and arti-
ficial ventilation
Administration of naloxone, an
opioid
reversal agent
Administration of an agonist
opioid, such as fentanyl (Dura-
gesic Mat)
5. A patient will be discharged How to prevent constipation
with a 1-week supply of an
opioid analgesic for pain man- Gastrointestinal occurrences such as nausea, vomiting, and
agement after his abdominal constipation are the most common adverse ettects associ-
surgery. What should the nurse ated with opioid analgesics. Physical dependence usually
occurs in patients undergoing long-term treatment.
teach this patient in regard to
this drug?
How to manage diarrhea
How to access drug addiction
programs
How to prevent constipation
How to avoid dehydration due
to polyuria
6. A patient who has been treated Opioid tolerance
for lung cancer for 3 years has
noticed that over the past few months the opioid analgesic that
is being used is not helping
