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Chapter 43: Analgesia and Pain Management
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Chapter 43: Analgesia and Pain Management

Pharmacology For the Primary Care Provider 4th Edition by Edmunds Mayhew

$2.99

 

Chapter 43: Analgesia and Pain Management

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. A patient has been taking an opioid analgesic for chronic pain and tells the primary care nurse practitioner (NP) that the medication doesn’t work as well anymore. The NP should suspect drug:
a. addiction.
b. tolerance.
c. modulation.
d. dependence.

 

 

ANS:  B

Tolerance is characterized by decreasing drug effect over time, meaning that more drug is needed to achieve the same effect. Addiction is an overwhelming obsession with obtaining and using a drug for non–medically approved purposes. Dependence is the development of abstinence syndrome or withdrawal symptoms.

 

DIF:    Cognitive Level: Understanding (Comprehension)             REF:   464 – 465

 

  1. A patient has pain caused by a chronic condition. The patient is reluctant to take opioids because of a fear of addiction. The primary care NP should tell the patient that opioids:
a. carry a high risk of psychological dependence when used long-term.
b. will help to improve the patient’s functional outcomes and quality of life.
c. will eventually become ineffective for treating pain when used over a long period.
d. may require switching from one type of opioid to another to prevent tolerance over time.

 

 

ANS:  B

Chronic pain requires routine administration of drugs, and addiction is generally not a concern, especially for patients with chronic pain or terminal illness. Opioid analgesics will help the patient improve function and quality of life. Tolerance may develop, and higher doses may be required to maintain effectiveness. Randomized, controlled trials are lacking to support switching opioids to manage tolerance and side effects.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   467 – 468

 

  1. A patient is diagnosed with a condition that causes chronic pain. The primary care NP prescribes an opioid analgesic and should instruct the patient to:
a. wait until the pain is at a moderate level before taking the medication.
b. take the medication at regular intervals and not just when pain is present.
c. start the medication at higher doses initially and taper down gradually.
d. take the minimum amount needed even when pain is severe to avoid dependency.

 

 

ANS:  B

Chronic pain requires routine administration of drugs, and patients should take analgesics routinely without waiting for increased pain.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   467

 

  1. A patient who is a recovering alcoholic is preparing for surgery and expresses fears about using opioid analgesics postoperatively for pain. The primary care NP should tell the patient:
a. that opioids should not be used.
b. to take a very low dose of the opioid.
c. that nonsteroidal antiinflammatory drugs will be the only safe option.
d. that opioids are safe when taken as directed.

 

 

ANS:  D

Fear of drug dependency or addiction does not justify withholding of opiates or inadequate management of pain. As long as the medication is taken as directed, it is safe.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   467

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