Module 3: Analgesics, Anesthetics, NSAID Practice

A patient with bone cancer tells the nurse that he is in pain. The nurse knows that bone pain is classified as which type of pain?

A. Somatic pain

B. Referred pain

C. Visceral pain

D. Neuropathic pain

A

A patient is recovering from an appendectomy. She also has asthma and allergies to shellfish and iodine. To manage her postoperative pain, the physician has prescribed patient-controlled analgesia (PCA) with hydromorphone. Which vital sign is of greatest concern?

A. Pulse

B. Blood pressure

C. Temperature

D. Respirations

D

A patient who has metastasized bone cancer has been on transdermal fentanyl patches for pain management for 3 months. He has been hospitalized for tests and has told the nurse that his pain is becoming “unbearable.” The nurse is reluctant to give him the ordered pain medication because the nurse does not want the patient to get addicted to the medication. What do the nurse’s actions reflect?

A. Appropriate concern for the patient’s best welfare

B. Appropriate caution for a patient who is already on a long-term opioid

C. An uncaring attitude toward the patient

D. A failure to manage the patient’s pain properly

D

The nurse anesthetist is planning to use balanced anesthesia during a surgical procedure. A characteristic of this type of anesthesia is the

A. administration of minimal doses of multiple anesthetic drugs.

B. administration of inhaled anesthetics.

C. intravenous (IV) administration of anesthetics.

D. administration of anesthetics to cause muscle relaxation.

A

When assessing a patient under general anesthesia, which change to organ systems does the nurse expect?

A. Vasodilation

B. Skeletal muscle contraction

C. Hypertension

D. Decreased intracranial pressure

A

During surgery, the anesthetist notes that the patient’s heart rate is gradually increasing and becoming more irregular, the patient’s blood pressure is becoming unstable, and the patient is starting to sweat profusely. What other assessment should the anesthetist note immediately?

A. Pupillary reactions

B. Respiratory effort

C. Temperature

D. Urinary output

C

Which statement regarding conscious sedation does the nurse identify as being accurate?

A. The IV route of drug administration is commonly used in pediatric patients to provide conscious sedation.

B. Mild amnesia is a common effect of midazolam.

C. Patients receiving conscious sedation must be intubated with an endotracheal tube.

D. Effects of propofol include relief of anxiety and pain.

B

A patient is to receive a NMBD while on mechanical ventilation. While the patient is receiving this medication, the nurse should expect the patient to be

A. sedated.

B. resisting the ventilator.

C. awake but unable to move.

D. pain free.

C

The nurse is administering medications. One patient has an order for aspirin 81 mg by mouth daily and another patient has an order for aspirin 650 mg 4 to 6 times daily (maximum 4 g/day). What indication for the 81 mg should the nurse recognize?

A. Pain management

B. Fever reduction

C. Treatment of OA

D. Thrombus prevention

D

A patient is admitted with salicylate toxicity. When assessing the patient, the nurse anticipates which manifestation associated with salicylate toxicity?

A. Bradycardia

B. Hypoventilation

C. Constipation

D. Nausea and vomiting

D

An 82-year-old woman is taking ibuprofen (Motrin) 3200 mg divided three times daily as treatment for arthritis. She has had no other health problems. What is the most important assessment for the nurse to monitor while the patient is on this therapy?

A. Blood sugar

B. Liver function studies

C. Assessment of hearing

D. Renal function studies

D

A patient is taking ibuprofen 800 mg three times a day by mouth as treatment for OA. While taking a health history, the nurse finds out that the patient has a few beers on weekends. What concern would there be with the interaction of the alcohol and ibuprofen?

A. Increased bleeding tendencies

B. Increased chance for GI bleeding

C. Increased nephrotoxic effects

D. Reduced antiinflammatory effects of the NSAID

B

Which drug does the nurse associate with the development of potentially life-threatening skin adverse effects of exfoliative dermatitis, Stevens-Johnson syndrome, and toxic epidermal necrolysis?

A. Probenecid

B. Colchicine

C. Febuxostat (Uloric)

D. Allopurinol (Zyloprim)

D