Basic Pharmacology For Nurses,15th Edition by Bruce D. Clayton
Basic Pharmacology For Nurses,15th Edition by Bruce D. Clayton
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Chapter 20: Drugs Used for Pain Management
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| A. | TPPPS |
| B. | FLACC |
| C. | POCIS |
| D. | MOPS |
ANS: B
| Feedback | |
| A | The Toddler-Preschooler Postoperative Pain Scale would not be appropriate for this patient. |
| B | The FLACC scale would be used to assess pain in the nonverbal patient. |
| C | The Pain Observation Scale for Young Children would not be appropriate for this patient. |
| D | The Modified Objective Pain Scale would not be appropriate for this patient. |
DIF: Cognitive Level: Application REF: 311
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
| A. | Elevate the patient’s head of bed to facilitate lung expansion. |
| B. | Increase the patient’s primary IV flow rate. |
| C. | Complete the FLACC scale. |
| D. | Notify the health care provider and prepare to administer naloxone (Narcan). |
ANS: D
| Feedback | |
| A | Lung expansion would not relieve respiratory depression. |
| B | Increasing the primary IV infusion rate would not relieve respiratory depression. |
| C | Assessing the patient’s pain at this point is a lesser priority than treating the respiratory depression. |
| D | The patient is exhibiting signs of respiratory depression. Administration of the antidote naloxone would be the most appropriate nursing intervention. |
DIF: Cognitive Level: Application REF: 324
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
| A. | Gastrointestinal bleeding |
| B. | Increased bleeding times |
| C. | Tinnitus |
| D. | Occasional nausea |
ANS: C
| Feedback | |
| A | Although salicylates may cause GI bleeding over time, it is not a symptom associated with toxicity. |
| B | Increased bleeding time is an effect associated with the treatment of clots. |
| C | Symptoms of salicylism include ringing in the ears (tinnitus), impaired hearing, dimming of vision, sweating, fever, lethargy, dizziness, mental confusion, nausea, and vomiting. |
| D | Occasional nausea is a common adverse effect of treatment with salicylates; it is not a sign of toxicity. |
DIF: Cognitive Level: Comprehension REF: 326
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
| A. | The medication is cheaper than aspirin. |
| B. | There are fewer gastrointestinal adverse effects. |
| C. | They are more effective than COX-1 inhibitors. |
| D. | They have no known adverse effects. |
ANS: B
| Feedback | |
| A | Aspirin is one of the least expensive analgesics available. |
| B | COX-2 inhibitor NSAIDs have fewer gastrointestinal adverse effects than salicylates or COX-1 inhibitors. |
| C | The anti-inflammatory actions of NSAIDs are caused by COX-2 inhibition; the unwanted adverse effects are caused by inhibition of COX-1. |
| D | All these medications have adverse effects. |
DIF: Cognitive Level: Knowledge REF: 331
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity
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