Chapter 14: Medications for Pain Management and Anesthesia

Chapter 14: Medications for Pain Management and Anesthesia

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient in a motor vehicle accident was brought into the emergency department for his injuries. After x-rays were done, the patient was found to have a fractured pelvis. Which drug would the nurse expect the physician to order for this patient because of his acute pain?

a.	Meperidine (Demerol)
b.	Acetaminophen (Tylenol)
c.	Propoxyphene (Darvon-N)
d.	Morphine sulfate

 

 

ANS:  D

Morphine is used a great deal in acute care and in the hospice setting for dying patients who have severe pain.

 

DIF:    Cognitive Level: Apply                   REF:   p. 287             OBJ:   4

TOP:   Opioids          KEY:  Nursing Process Step: Diagnosis

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

 

2. In the nurse’s observation of a 24-hour–postoperative elderly patient, the nurse finds the patient in severe pain. He tells the nurse he does not want to take the pain medication because he fears addiction. Which would be the best intervention for this patient?

a.	Give the patient methadone.
b.	Talk to the patient about his fears.
c.	Just give the medication, and do not tell him.
d.	Tell the patient how silly he is being.

 

 

ANS:  B

Talk to patients about their fears and help them to understand that they can take medications without unreasonable concern about addiction.

 

DIF:    Cognitive Level: Understand            REF:   p. 288             OBJ:   2

TOP:   Opioids          KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

3. The patient asks for pain medication after abdominal surgery. By which means would the nurse determine the patient’s level of pain to know how much medication to administer?

a.	Have the patient rate the pain on a scale.
b.	Give the medication that is ordered.
c.	Start pain medication with the smallest dose possible.
d.	Reposition the patient and assess the pain.

 

 

ANS:  A

Pain measurement scales exist to help evaluate how much pain the patient is feeling.

 

DIF:    Cognitive Level: Apply                   REF:   p. 289             OBJ:   4

TOP:   Pain Management                            KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

 

4. The nurse would expect to see which symptom in a patient who is an abuser of narcotics?

a.	An outward show of happiness
b.	A complete downward spiral in behavior
c.	“Hyper” behavior
d.	Constipation

 

 

ANS:  D

A chronic overdose symptom seen in drug abusers is constipation.

 

DIF:    Cognitive Level: Apply                   REF:   p. 289             OBJ:   3

TOP:   Adverse Reactions                          KEY:  Nursing Process Step: Diagnosis

MSC:  NCLEX: Physiological Integrity

 

5. The physician orders hydromorphone (Dilaudid). The nurse knows that this is the drug of choice because of which reason?

a.	It minimizes some of the common side effects.
b.	It will not make the patient sleepy.
c.	It is not strong as morphine and is less addicting.
d.	It can be given transdermally.

 

 

ANS:  A

Hydromorphone (Dilaudid) is a potent synthetic compound that maximizes analgesic effects while minimizing some of the common side effects seen with morphine.

 

DIF:    Cognitive Level: Apply                   REF:   p. 287 | Table 14-3

OBJ:   4                    TOP:   Opioid Receptors

KEY:  Nursing Process Step: Evaluation     MSC:  NCLEX: Physiological Integrity