CHAPTER 10: ANALGESICS AND ANTIPYRETICS

CHAPTER 10: ANALGESICS AND ANTIPYRETICS

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A popular theory used to explain how pain is perceived by the body is called the:

a.	beta theory.	c.	gate theory.
b.	delta theory.	d.	gamma theory.

 

 

ANS:  C

 

	Feedback
A	Incorrect: Beta fibers are part of the gate theory.
B	Incorrect: Delta fibers are part of the gate theory.
C	Correct: The gate theory is the most popular theory regarding pain.
D	Incorrect: Gamma fibers are part of the gate theory.

 

 

PTS:   1                    REF:   p. 259            OBJ:   Cognitive Level: Knowledge

 

2. When caring for hospitalized clients, the nurse understands that minimizing pain medication for clients:

a.	may improve recovery by avoiding oversedation.
b.	results in decreased health care costs.
c.	positively impacts the healing process by allowing increased mobility.
d.	may lead to longer hospital stays.

 

 

ANS:  D

 

	Feedback
A	Incorrect: Adequate pain management does not result in oversedation.
B	Incorrect: Because it may lead to longer hospital stays, it doesn’t decrease costs.
C	Incorrect: It negatively impacts on the healing process by delaying ambulation and decreasing mobility.
D	Correct: Inadequate pain management can lead to complications, including but not limited to longer hospital stays.

 

 

PTS:   1                    REF:   p. 258            OBJ:   Cognitive Level: Comprehension

 

3. Opioid drugs are not generally used for treating:

a.	cough.	c.	diarrhea.
b.	constipation.	d.	severe pain.

 

 

ANS:  B

 

	Feedback
A	Incorrect: Opiods are used as cough suppressants.
B	Correct: Constipation is the main adverse effect of opiods, so they would not be used to treat constipation.
C	Incorrect: Opiods are used to treat severe diarrhea, because they decrease GI motility.
D	Incorrect: Opiods are used to treat severe pain.

 

 

PTS:   1                    REF:   p. 261            OBJ:   Cognitive Level: Knowledge

 

4. Which of the following agents would be appropriate to use in the treatment of an overdose of meperidine (Demerol)?

a.	butorphanol tartrate	c.	hydrocodone
b.	propoxyphene HCl	d.	naloxone

 

 

ANS:  D

 

	Feedback
A	Incorrect: This is a nonopioid analgesic.
B	Incorrect: This is an opioid agonist.
C	Incorrect: This is an opioid agonist.
D	Correct: This is an opioid antagonist used to reverse the depressive action of opioids.

 

 

PTS:   1                    REF:   p. 270            OBJ:   Cognitive Level: Knowledge

 

5. A client is receiving fentanyl IV for postoperative pain. The nurse understands that with this opiod the client should be monitored for:

a.	respiratory depression.	c.	alertness.
b.	CNS stimulation.	d.	cough suppression.

 

 

ANS:  A

 

	Feedback
A	Correct: Fentanyl is 80 to 100 times as potent as morphine sulfate, so respiratory depression is a risk with this agent.
B	Incorrect: This is very unlikely.
C	Incorrect: Although this is part of assessing the client’s level of consciousness, this is not the best answer.
D	Incorrect: Fentanyl is not used as a cough suppressant.

 

 

PTS:   1                    REF:   p. 268            OBJ:   Cognitive Level: Application